Individual
MRS. MARLENE KING BACKERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1930 TURKEY POINT RD, NORTH EAST, MD 21901-5452
(410) 287-5235
(410) 287-2556
Mailing address
121 REMINGTON RD, PORT DEPOSIT, MD 21904-1135
(410) 658-2360
(410) 658-5798
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC2822
MD
Other
Enumeration date
10/17/2008
Last updated
10/17/2008
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