Individual
EMNET T KFLU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
908 FRANCIS AVENUE, HALETHORPE, MD 21227
(443) 869-6512
Mailing address
P.O. BOX 47476, WINDSOR MILL, MD 21244
(443) 600-1518
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC3041
MD
Other
Enumeration date
06/10/2010
Last updated
08/05/2011
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