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1780087213
AUDREY FORKA
HAVRE DE GRACE, MD
NPI
1780087213
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MD AC001470)
Enumeration Date
2014-09-29
Last Update Date
2022-10-12
Business Address
AUDREY FORKA MSN,PMHNP-BC
611 S UNION AVE
HAVRE DE GRACE, MD 21078-3421
Phone number: 443-526-6133
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Mailing Address
AUDREY FORKA MSN,PMHNP-BC
501 S UNION AVE BEHAVIORAL HEALTH UNIT
HAVRE DE GRACE, MD 21078-3409
Phone number: 609-598-2298
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