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1720641053
PHYLLIS TENNESSEE-NEWBY
BALTIMORE, MD
NPI
1720641053
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MD 18673)
Enumeration Date
2019-04-22
Last Update Date
2019-04-22
Business Address
Mrs. PHYLLIS TENNESSEE-NEWBY LGSW
3502 W ROGERS AVE
BALTIMORE, MD 21215-4749
Phone number: 410-318-8190
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Mailing Address
Mrs. PHYLLIS TENNESSEE-NEWBY LGSW
2845 BANEBERRY CT
BALTIMORE, MD 21209-3826
Phone number: 410-318-8190
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