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1306136007
LYNN BEVILACQUA
FREDERICK, MD
NPI
1306136007
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MD 16860)
Enumeration Date
2011-04-14
Last Update Date
2012-01-26
Business Address
-- LYNN BEVILACQUA LCSW-C
3409A URBANA PIKE
FREDERICK, MD 21704-7772
Phone number: 240-626-9459
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Mailing Address
-- LYNN BEVILACQUA LCSW-C
3409A URBANA PIKE
FREDERICK, MD 21704-7772
Phone number: 240-626-9459
Copy
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