Individual
DESIREE DEVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
531 MAIN ST, LAUREL, MD 20707-4126
(240) 451-2171
Mailing address
10125 PRINCE PL APT 304, UPPER MARLBORO, MD 20774-1127
(202) 867-5175
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
30374
MD
Other
Enumeration date
09/05/2023
Last updated
09/05/2023
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