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Individual

MRS. LAURA CRUZ FAWZY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
610 E DIAMOND AVE STE 100A, GAITHERSBURG, MD 20877-5321
(301) 840-3200
(301) 840-1348
Mailing address
1215 INGRAHAM ST NW, WASHINGTON, DC 20011-3601
(904) 219-0421

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC9361
MD
101YP2500X
Professional Counselor
LGP7068
MD

Other

Enumeration date
06/14/2011
Last updated
03/26/2019
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