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Individual

ANTHONY DER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCPC

Contact information

Practice address
10705 CHARTER DR STE 410, COLUMBIA, MD 21044-2800
(443) 718-0385
Mailing address
6611 CAMBRIA TER, ELKRIDGE, MD 21075-5952
(443) 718-0385

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC8466
MD

Other

Enumeration date
06/02/2018
Last updated
06/02/2018
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