Individual
MARILYN EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
10515 THEODORE GREEN BLVD, WHITE PLAINS, MD 20695-3042
(301) 873-4593
(301) 753-1919
Mailing address
10515 THEODORE GREEN BLVD, SUITE 214, WHITE PLAINS, MD 20695-3042
(301) 885-9760
(301) 753-1919
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC3424
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036797400
—
MD
Enumeration date
03/17/2010
Last updated
12/06/2010
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