Individual
LATRICE JANE' NESBIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12313 FOYETTE LN, UPPER MARLBORO, MD 20772-9305
(980) 420-0230
Mailing address
12313 FOYETTE LN, UPPER MARLBORO, MD 20772-9305
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGPC200001561
DC
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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