Individual
DAPHNE LAVONE BLICK WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.,LCPC,NCC,DCC
Contact information
Practice address
9650 SANTIAGO ROAD, SUITE 101, STEVENS FOREST PROFESSIONAL CENTER, COLUMBIA, MD 21045
(410) 995-5587
Mailing address
1002 CAMPBELL MEADOWS ROAD, OWINGS MILLS, MD 21117-4993
(443) 394-0007
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC1128
MD
Other
Enumeration date
10/10/2008
Last updated
10/10/2008
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