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1407101579
ELLA NASTASYA SPICE
BEL AIR, MD
NPI
1407101579
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: MD LC5426)
Enumeration Date
2012-07-16
Last Update Date
2019-05-29
Business Address
MS. ELLA NASTASYA SPICE LCPC
522 ROCK SPRING RD
BEL AIR, MD 21014-2941
Phone number: 443-417-4855
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Mailing Address
MS. ELLA NASTASYA SPICE LCPC
522 ROCK SPRING RD
BEL AIR, MD 21014-2941
Phone number: 443-417-4855
Copy
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