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Denise Supik
Professional Counselor in Baltimore, Maryland
NPI 1972929099

Denise Supik is a Professional Counselor based in Baltimore, MD and is specialized in Professional. Denise Supik practices in Baltimore, MD. The NPI Number for Denise Supik is 1972929099 and holds a License No. LC1280 (Maryland).

The current practice location address for Denise Supik is 600 Wyndhurst Ave Ste 308, Baltimore, MD and can be reached out via phone at 443-310-8214.

Location: 600 Wyndhurst Ave Ste 308, Baltimore, MD, 21210-2415
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Provider Profile Details
NPI Number
1972929099
Provider Name
Denise Supik
Credential
Provider Entity Type
Individual
Gender
Female
Address
600 Wyndhurst Ave Ste 308, Baltimore, MD, 21210-2415
Phone Number
443-310-8214
Fax Number
Provider Enumeration Date
03/13/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
45-5476114 01 MD TAX ID
institution
Provider Business Practice Location Address Details
Address
600 Wyndhurst Ave Ste 308
City
State
Zip
21210-2415
Phone Number
443-310-8214
Fax Number
person
Provider Business Mailing Address Details
Address
600 Wyndhurst Ave Ste 308
City
State
Zip
21210-2415
Phone Number
443-310-8214
Fax Number
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Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LC1280 (Maryland)
Definition
Definition to come...
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