Individual
DONNA ALICIA SURRATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
9500 MEDICAL CENTER DR STE 200, LARGO, MD 20774-3707
(301) 266-9804
Mailing address
9502 JULIETTE DR, CLINTON, MD 20735-3549
(301) 266-9804
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
26680
MD
Other
Enumeration date
03/26/2021
Last updated
03/26/2021
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