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Individual

AMANDA PETERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
2021 CHANEYVILLE RD STE 100, OWINGS, MD 20736-4348
(410) 610-0046
Mailing address
9750 TARA DR, DUNKIRK, MD 20754-3004

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC16128
MD

Other

Enumeration date
07/12/2021
Last updated
07/21/2025
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