Individual
BRANDI ALEXIS TANCEMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
707 N. BROADWAY, BALTIMORE, MD 21205
(443) 923-9200
Mailing address
1741 ASHLAND AVE, BALTIMORE, MD 21205
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
10134
MD
101Y00000X
Counselor
10134
—
Other
Enumeration date
01/23/2020
Last updated
07/21/2022
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