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Individual

MRS. DEIDRE PAILIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LGPC

Contact information

Practice address
9475 LOTTSFORD RD, SUITE 250, LARGO, MD 20774-5357
(301) 636-6504
(301) 636-6509
Mailing address
9475 LOTTSFORD RD, SUITE 250, LARGO, MD 20774-5357
(301) 636-6504
(301) 636-6509

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LGP5948
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
275435
NBCC
Enumeration date
10/29/2014
Last updated
10/29/2014
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