Individual
MS. SUSAN R DIDONATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LCPC
Contact information
Practice address
1027 COVINGTON ST, BALTIMORE, MD 21230-4142
(410) 533-6813
Mailing address
1027 COVINGTON ST, BALTIMORE, MD 21230-4142
(410) 533-6813
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC5075
MD
Other
Enumeration date
09/12/2011
Last updated
10/29/2014
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