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1184371361
KIONNA BASKERVILLE
FREDERICK, MD
NPI
1184371361
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MD LGPC12457)
Enumeration Date
2022-03-07
Last Update Date
2022-03-07
Business Address
KIONNA BASKERVILLE
319 W PATRICK ST
FREDERICK, MD 21701-4855
Phone number: 301-640-5702
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Mailing Address
KIONNA BASKERVILLE
319 W PATRICK ST
FREDERICK, MD 21701-4855
Phone number: 301-640-5702
Copy
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