Mallory L. Sutphin LCPC - Professional Counselor in Westminster, Maryland | ProviderWire

Full Name

Mallory Lynne Sutphin LCPC

NPI Number

1801290028

NPI Type

Individual Provider

Gender

Female

Enumeration Date

10/17/2014

Specialties

(Taxonomies)

Name

Professional Counselor

Code

101YP2500X

Primary Taxonomy

Yes

Licenses

State

Maryland

License Number

LC5474

Contact
Information

Purpose

Mailing

Location

Address

59 KATE WAGNER RD

59 KATE WAGNER RD

City

Westminster

Westminster

State

MD

MD

Postal Code

21157-6957

21157-6957

Country

US

US

Telephone Number

(443) 244-8642

(443) 244-8642

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/17/2014

Provider Address

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