Individual
BARBARA DOMAZET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3000 CHESTNUT AVE, BALTIMORE, MD 21211-2727
(667) 216-7839
Mailing address
4908 ARABIA AVE, BALTIMORE, MD 21214-2930
(443) 905-7748
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LGP6994
MD
Other
Enumeration date
05/25/2016
Last updated
05/25/2016
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