Towanda Street, LCPC

NPI #1740520360 in Woodlawn, Maryland

Provider Information

NPI Number: 1740520360
Entity Type: Individual
Name: Towanda Street, LCPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: LCPC
Enumeration Date: Feb 19, 2013
Last Updated: Feb 19, 2013

Practice Location

Address: 6665 SECURITY BOULEVARD
City: Woodlawn
State: Maryland
ZIP Code: 21207
Phone: (410) 265-7291

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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