Individual
KHADIJAH MARYAM STORM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LCPC
Contact information
Practice address
1129 BUSINESS PKWY S STE A, WESTMINSTER, MD 21157-3004
(667) 600-2866
Mailing address
253 KINDIG RD, LITTLESTOWN, PA 17340-9601
(410) 868-8171
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC5595
MD
Other
Enumeration date
06/12/2012
Last updated
09/23/2024
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