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Individual

RAYSA E. CREQUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
8508 FLOWER AVE APT 1A, TAKOMA PARK, MD 20912-6640
(201) 306-5749
Mailing address
8508 FLOWER AVE APT 1A, TAKOMA PARK, MD 20912-6640
(201) 306-5749

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC12174
MD

Other

Enumeration date
02/13/2022
Last updated
02/13/2022
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