Individual
THERESE MORAN CONLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1011 MAIN ST, HAMPSTEAD, MD 21074-2230
(410) 552-9007
(410) 552-9881
Mailing address
1381 JAY RD, ELDERSBURG, MD 21784-6115
(410) 552-9007
(410) 552-9881
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC5216
MD
Other
Enumeration date
04/09/2016
Last updated
04/13/2016
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