Organization
DONA MOON LCSW-C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONA MOON LCSW-C (PROPRIETOR)
(240) 461-8956
Entity
Organization
Contact information
Practice address
7500 HANOVER PKWY, SUITE 203, GREENBELT, MD 20770-2010
(240) 461-8956
Mailing address
15037 CHERRYWOOD DR, LAUREL, MD 20707-5547
(240) 461-8956
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
08496
MD
Other
Enumeration date
07/11/2013
Last updated
07/11/2013
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