Individual
MS. DIANE J CLONMELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
7655 E ARBORY CT, LAUREL, MD 20707-5554
(240) 338-8115
Mailing address
7655 E ARBORY CT, LAUREL, MD 20707-5554
(240) 338-8115
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC1496
MD
Other
Enumeration date
06/06/2012
Last updated
06/06/2012
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