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8182 Lark Brown Rd Ste 201 Elkridge MD 21075-6428 | |
| (410) 465-7628 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 8182 Lark Brown Rd Ste 201, Elkridge, Maryland |
| Authorized Official Name and Position | Flori Willard (PSYCHOTHERAPIST) |
| Authorized Official Contact | 4104657628 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
9871 Old Annapolis Rd Ellicott City MD 21042-5715 Ph: (410) 480-8254 | 8182 Lark Brown Rd Ste 201 Elkridge MD 21075-6428 Ph: (410) 465-7628 |
| NPI Number | 1992915136 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992915136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | LCM209 (Maryland) | Primary |
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