Individual
QUITA ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9817 SOUTHALL RD, RANDALLSTOWN, MD 21133-2013
(443) 985-6017
Mailing address
9817 SOUTHALL RD, RANDALLSTOWN, MD 21133-2013
(443) 985-6017
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC7462
MD
Other
Enumeration date
11/10/2016
Last updated
11/10/2016
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