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1417420407
LINDA FIESTA
ANNAPOLIS, MD
NPI
1417420407
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: MD LC7804)
Enumeration Date
2019-01-02
Last Update Date
2019-01-02
Business Address
LINDA FIESTA LCPC
104 FORBES ST STE 205
ANNAPOLIS, MD 21401-1598
Phone number: 443-604-1681
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Mailing Address
LINDA FIESTA LCPC
816 CHESTER AVE
ANNAPOLIS, MD 21403-3230
Phone number: 443-604-1681
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