Individual
MR. CARLTON FONVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8101 SANDY SPRING RD STE 250, LAUREL, MD 20707-3527
(301) 909-3887
(443) 279-2793
Mailing address
8101 SANDY SPRING RD STE 250, LAUREL, MD 20707-3527
(301) 909-3887
(443) 279-2793
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
17197
MD
Other
Enumeration date
08/25/2015
Last updated
03/07/2022
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