Individual
LAURIE ANNE MOMBAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LCPC
Contact information
Practice address
6086 YONA CT, MOUNT AIRY, MD 21771-7446
(240) 876-7414
Mailing address
6086 YONA CT, MOUNT AIRY, MD 21771-7446
(240) 876-7414
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC1506
MD
Other
Enumeration date
10/10/2020
Last updated
10/10/2020
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