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1942605712
AVI LANDA
BALTIMORE, MD
NPI
1942605712
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MD LC6293)
Enumeration Date
2014-10-23
Last Update Date
2015-07-30
Business Address
-- AVI LANDA LCPC
4445 OLD COURT RD
BALTIMORE, MD 21208-2736
Phone number: 410-484-6600
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Mailing Address
-- AVI LANDA LCPC
405 YESHIVA LN APT 1C
PIKESVILLE, MD 21208-1135
Phone number: 410-484-6600
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