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NPI Profile for FEDELINE APPOLON in COLUMBIA, MD.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X |
| NPI # | 1578174900 |
|
| Status | Active | |
| Credentials | LCPC, NCC | |
| Entity | Individual | |
| Enumeration date | 08/10/2020 | |
| Last updated | 09/17/2025 - About 9 months ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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FEDELINE APPOLON
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FEDELINE APPOLON, LCPC, NCC