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1366509358
LISA SIMONE HOVERMALE
CATONSVILLE, MD
NPI
1366509358
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: MD D0048259)
Enumeration Date
2007-01-02
Last Update Date
2007-07-08
Business Address
Dr. LISA SIMONE HOVERMALE M.D.
55 WADE AVE SGHC DIX BUILDING MHA-HQ
CATONSVILLE, MD 21228-4663
Phone number: 410-402-8461
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Mailing Address
Dr. LISA SIMONE HOVERMALE M.D.
5908 WILMARY LN
BALTIMORE, MD 21210-1231
Phone number: 410-433-7398
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