Provider Information for 1710404934
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BARBARA KASS LCPC
Sex: Female
NPI: 1710404934
Last Updated: 2017-08-28
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1710404934 | ||||||||
| Enumeration Date | 2017-08-28 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 8818 STONEBROOK LN COLUMBIA, MD 21046-1426 United States Phone: | Fax: | ||||||||
| Primary Practice Address | 8818 STONEBROOK LN COLUMBIA, MD 21046-1426 United States Phone: 240-498-2087 | Fax: | ||||||||
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