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Individual

GERALDINE ANN MARINACCIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1015 PULASKI HWY, JOPPA, MD 21085-3918
(410) 670-8012
(833) 470-0753
Mailing address
5202 DAYBROOK CIR APT 164, BALTIMORE, MD 21237-5076
(443) 337-4110

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1863
MD

Other

Enumeration date
08/31/2020
Last updated
08/31/2020
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