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Individual

MARLEA BRISBANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
60 MELLOR AVE, CATONSVILLE, MD 21228-5104
(410) 788-5483
Mailing address
PO BOX 1278, LINCOLNTON, NC 28093-1278

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
10028
MD

Other

Enumeration date
06/10/2020
Last updated
06/10/2020
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