Individual
MRS. MARY LYNN WILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.P.C.
Contact information
Practice address
150 W PATRICK ST, FREDERICK, MD 21701-5514
(301) 631-2121
Mailing address
19830 FALLING SPRING CT, LAYTONSVILLE, MD 20882-1226
(240) 683-8253
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC2824
MD
Other
Enumeration date
07/22/2008
Last updated
07/22/2008
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