Individual
MARY BOLLINGER KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4940 EASTERN AVE, BALTIMORE, MD 21224-2735
(410) 550-2996
(410) 550-8048
Mailing address
4940 EASTERN AVE, BALTIMORE, MD 21224-2735
(410) 550-2996
(410) 550-8048
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LC2334
MD
Other
Enumeration date
03/28/2019
Last updated
03/28/2019
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