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Individual

MS. MARY ALICE PHELPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LIC. ACUPUNCTURIST

Contact information

Practice address
658 KENILWORTH DR, TOWSON, MD 21204-2312
(410) 828-3585
(410) 828-8674
Mailing address
201 RIDGE AVE, TOWSON, MD 21286-5433
(410) 828-6563

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U00192
MD

Other

Enumeration date
11/07/2006
Last updated
07/08/2007
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