Individual
GRACE OLIVIA PUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22 W PADONIA RD STE C353, LUTHERVILLE TIMONIUM, MD 21093-2243
(410) 357-1607
Mailing address
22 W PADONIA RD STE C353, LUTHERVILLE TIMONIUM, MD 21093-2243
(410) 357-1607
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP15168
MD
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/18/2021
Last updated
04/07/2026
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