Individual
BETHANY WOMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
611 RIDGELY AVE, ANNAPOLIS, MD 21401-1069
(240) 621-0906
Mailing address
611 RIDGELY AVE, ANNAPOLIS, MD 21401-1069
(240) 621-0906
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC6807
MD
Other
Enumeration date
09/08/2014
Last updated
03/17/2016
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