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Individual

MRS. BRITTANY EDIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCPC

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC4791
MD
101YP2500X
Professional Counselor
PC013300
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LC4791
STATE LICENSE
MD
01
PC013300
STATE LICENSURE
PA
Enumeration date
01/11/2011
Last updated
01/05/2024
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