Individual
LAKEETA NACOLE BRANCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
614 ANNABEL AVE, BALTIMORE, MD 21225-1913
(443) 546-8253
Mailing address
614 ANNABEL AVE, BALTIMORE, MD 21225-1913
(443) 546-8253
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
—
DC
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
06/30/2018
Last updated
04/14/2021
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