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Maryann Etukudo
Mental Health Counselor in Laurel, Maryland
NPI 1073115358

Maryann Etukudo is a Mental Health Counselor based in Laurel, MD and is specialized in Mental Health. Maryann Etukudo practices in Laurel, MD. The NPI Number for Maryann Etukudo is 1073115358 and holds a License No. (Maryland).

The current practice location address for Maryann Etukudo is 14625 Baltimore Ave # 817, Laurel, MD and can be reached out via phone at 240-806-8401.

Location: 14625 Baltimore Ave # 817, Laurel, MD, 20707-4902
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073115358
Provider Name
Maryann Etukudo
Credential
Provider Entity Type
Individual
Gender
Female
Address
14625 Baltimore Ave # 817, Laurel, MD, 20707-4902
Phone Number
240-806-8401
Fax Number
Provider Enumeration Date
11/12/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
14625 Baltimore Ave # 817
City
Laurel
State
Maryland
Zip
20707-4902
Phone Number
240-806-8401
Fax Number
person
Provider Business Mailing Address Details
Address
14625 Baltimore Ave # 817
City
Laurel
State
Maryland
Zip
20707-4902
Phone Number
240-806-8401
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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