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Individual

SPENCER BYRNES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
440 SOLOMONS ISLAND RD N, SUITE 222, PRINCE FREDERICK, MD 20678-3909
(410) 535-3047
Mailing address
PO BOX 2924, LA PLATA, MD 20646-2984
(301) 609-9887
(301) 609-7284

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
589561802
MD
Enumeration date
09/14/2010
Last updated
09/14/2010
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