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1386218972
JESSICA LEIGH LASTNER
FREDERICK, MD
NPI
1386218972
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MD LGP11409)
Enumeration Date
2021-05-18
Last Update Date
2021-05-18
Business Address
JESSICA LEIGH LASTNER LGPC
306 N MARKET ST APT 2-1
FREDERICK, MD 21701-5337
Phone number: 240-446-3238
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Mailing Address
JESSICA LEIGH LASTNER LGPC
306 N MARKET ST APT 2-1
FREDERICK, MD 21701-5337
Phone number: 240-446-3238
Copy
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