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1861107765
KATELYN L LY
BALTIMORE, MD
NPI
1861107765
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MD LGP13476)
Enumeration Date
2023-01-16
Last Update Date
2023-01-16
Business Address
KATELYN L LY
5022 CAMPBELL BLVD STE 4969
BALTIMORE, MD 21236-4969
Phone number: 443-794-3986
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Mailing Address
KATELYN L LY
109 SIPPLE AVE
NOTTINGHAM, MD 21236-4330
Phone number: 443-794-3986
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