Individual
KATELYN L LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5022 CAMPBELL BLVD STE 4969, BALTIMORE, MD 21236-4969
(443) 794-3986
Mailing address
109 SIPPLE AVE, NOTTINGHAM, MD 21236-4330
(443) 794-3986
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP13476
MD
Other
Enumeration date
01/16/2023
Last updated
01/16/2023
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