Individual
SAFRIANNA ALYSSA MARIE DEGROAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
122 E PATRICK ST # 108, FREDERICK, MD 21701-5630
(240) 490-4306
Mailing address
122 E PATRICK ST # 108, FREDERICK, MD 21701-5630
(240) 490-4306
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC10745
MD
101YP2500X
Professional Counselor
LGP8423
MD
Other
Enumeration date
09/09/2019
Last updated
11/19/2020
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