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Individual

DONNA J. MAZYCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCPC, NCC

Contact information

Practice address
11353 LIBERTY ST, FULTON, MD 20759-2511
(301) 646-1829
Mailing address
11353 LIBERTY ST, FULTON, MD 20759-2511
(301) 646-1829

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC3954
MD
101YP2500X
Professional Counselor
LGP097
MD

Other

Enumeration date
10/17/2006
Last updated
07/24/2015
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