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1801496633
KEESHA MACK
BEL AIR, MD
NPI
1801496633
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MD lgp10835)
Enumeration Date
2020-10-30
Last Update Date
2020-10-30
Business Address
KEESHA MACK
1212 E CHURCHVILLE RD
BEL AIR, MD 21014-3416
Phone number: 215-287-0494
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Mailing Address
KEESHA MACK
900 FELICIA CT
BEL AIR, MD 21014-2539
Phone number: 215-287-0494
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