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1225377195
JESSICA FORMICOLA
BALTIMORE, MD
NPI
1225377195
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MD LC2853)
Enumeration Date
2013-02-12
Last Update Date
2013-02-12
Business Address
Mrs. JESSICA FORMICOLA LCPC
2401 W BELVEDERE AVE
BALTIMORE, MD 21215-5216
Phone number: 410-601-9943
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Mailing Address
Mrs. JESSICA FORMICOLA LCPC
2401 W BELVEDERE AVE
BALTIMORE, MD 21215-5216
Phone number: 410-601-9943
Copy
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