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Individual

MRS. LANE ALISON MOULDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1012 NORTH POINT RD, BALTIMORE, MD 21224-3338
(443) 216-4800
Mailing address
1806 EDGEWOOD RD, TOWSON, MD 21286-8908
(443) 996-9947

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC8440
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
298521700
MD
Enumeration date
06/30/2014
Last updated
03/27/2018
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