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Individual

ANDREA MARY REGENBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW-C

Contact information

Practice address
825 QUEENS PARK DR, OWINGS MILLS, MD 21117-2251
(410) 526-7882
Mailing address
37 MAIN ST, REISTERSTOWN, MD 21136-1236
(410) 526-7882
(410) 526-9855

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10653
MD

Other

Enumeration date
08/26/2007
Last updated
08/26/2007
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