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Organization
SLATE CLINICAL COUNSELING AND CONSULTATION LLC
Active
Organization
SLATE CLINICAL COUNSELING AND CONSULTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAXINE MARSHALL LCSW-C (CEO/THERAPIST)
(240) 356-3966
Entity
Organization
Contact information
Practice address
13717 PETREL ST, CLARKSBURG, MD 20871-3403
(443) 370-9336
Mailing address
13717 PETREL ST, CLARKSBURG, MD 20871-3403
(443) 370-9336
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/11/2023
Last updated
07/11/2023
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