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1861780033
OCTAVIA GUILBAULT
GLEN BURNIE, MD
NPI
1861780033
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MD LC3811)
Enumeration Date
2011-07-21
Last Update Date
2019-01-18
Business Address
OCTAVIA GUILBAULT LCPC
122 LANGLEY RD N STE A
GLEN BURNIE, MD 21060
Phone number: 410-222-6785
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Mailing Address
OCTAVIA GUILBAULT LCPC
122 LANGLEY RD N STE A
GLEN BURNIE, MD 21060-6531
Phone number: 301-395-6489
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