Individual
MS. THERESA S BOUMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
108 OLD SOLOMONS ISLAND RD, U7, ANNAPOLIS, MD 21401-3845
(410) 266-8345
(410) 266-6278
Mailing address
108 OLD SOLOMONS ISLAND RD, U7, ANNAPOLIS, MD 21401-3845
(410) 266-8345
(410) 266-6278
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC2547
MD
Other
Enumeration date
06/09/2011
Last updated
08/23/2011
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