Individual
MRS. INGRID FAVIOLA PONCIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
13228 EXECUTIVE PARK TER, GERMANTOWN, MD 20874-2640
(240) 489-1108
(240) 474-0068
Mailing address
13228 EXECUTIVE PARK TER, GERMANTOWN, MD 20874-2640
(240) 489-1108
(240) 474-0068
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LCM637
MD
Other
Enumeration date
07/23/2010
Last updated
10/07/2024
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