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1467898189
LAURA LYNN FANTACCI
FREDERICK, MD
NPI
1467898189
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MD LC4897)
Enumeration Date
2013-05-21
Last Update Date
2013-05-21
Business Address
-- LAURA LYNN FANTACCI LCPC
604 SOLAREX CT SUITE 201
FREDERICK, MD 21703-7005
Phone number: 301-663-8263
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Mailing Address
-- LAURA LYNN FANTACCI LCPC
604 SOLAREX CT SUITE 201
FREDERICK, MD 21703-7005
Phone number: 301-663-8263
Copy
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