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1164165056
TAYLOR CHARISSE KENNERLY
WALDORF, MD
NPI
1164165056
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MD LGP11841)
Enumeration Date
2022-04-18
Last Update Date
2022-04-18
Business Address
Ms. TAYLOR CHARISSE KENNERLY LGPC
3261 OLD WASHINGTON RD STE 3021
WALDORF, MD 20602-3229
Phone number: 240-280-3245
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Mailing Address
Ms. TAYLOR CHARISSE KENNERLY LGPC
4351 TELFAIR BLVD APT G101
CAMP SPRINGS, MD 20746-4285
Phone number: 203-216-4252
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