Individual
RONNIE DRAKE I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 BOOTH ST, ELKTON, MD 21921-5657
(410) 996-5104
(410) 996-5725
Mailing address
200 BOOTH ST, ELKTON, MD 21921-5657
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC2369
MD
Other
Enumeration date
06/11/2015
Last updated
06/11/2015
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