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Individual

SANDRA L CLIPP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
13327 WISDOM WAY, HAGERSTOWN, MD 21742
(301) 991-4229
Mailing address
1311 HAMILTON BLVD, HAGERSTOWN, MD 21742-3342
(301) 991-4229

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LC4862
MD
101YM0800X
Mental Health Counselor
Primary
LGP4058
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
747066
MD
Enumeration date
09/06/2012
Last updated
09/17/2021
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