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Individual

MS. TRACY ANN SANNA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
1010 DULANEY VALLEY RD, TOWSON, MD 21204
(104) 567-1117
Mailing address
122 ROCHESTER PL, BALTIMORE, MD 21224-2258
(302) 229-5806

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LC10642
MD
101YM0800X
Mental Health Counselor
Primary
LGP5846
MD

Other

Enumeration date
08/12/2016
Last updated
10/04/2021
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