Individual
JACQUEAN LYNETTE KOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
711 HARRY S TRUMAN DR APT 210, LARGO, MD 20774-2095
(301) 232-8575
Mailing address
711 HARRY S TRUMAN DR APT 210, LARGO, MD 20774-2095
(301) 232-8575
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LGP10763
MD
Other
Enumeration date
09/28/2020
Last updated
09/28/2020
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