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1003298845
LARA JAYNE PETER
COLUMBIA, MD
NPI
1003298845
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MD LC6145)
Enumeration Date
2015-06-28
Last Update Date
2021-08-19
Business Address
Mrs. LARA JAYNE PETER LCPC
10630 LITTLE PATUXENT PKWY STE 209
COLUMBIA, MD 21044-6278
Phone number: 240-470-0663
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Mailing Address
Mrs. LARA JAYNE PETER LCPC
11905 NEW COUNTRY LN
COLUMBIA, MD 21044-4404
Phone number: 240-470-0663
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