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1972210821
KENYA DERAY COUNTEE-JOHNSON
BALTIMORE, MD
NPI
1972210821
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MD R155914)
Enumeration Date
2022-10-31
Last Update Date
2022-10-31
Business Address
KENYA DERAY COUNTEE-JOHNSON PMHNP
2401 W BELVEDERE AVE
BALTIMORE, MD 21215-5216
Phone number: 410-601-8424
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Mailing Address
KENYA DERAY COUNTEE-JOHNSON PMHNP
11 KWANZAN ST
TANEYTOWN, MD 21787-2144
Phone number: 443-789-7686
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