Individual
MARY RUTH THEODOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7305 BALTIMORE AVE STE 207, COLLEGE PARK, MD 20740-3232
(202) 415-8782
Mailing address
7305 BALTIMORE AVE STE 207, COLLEGE PARK, MD 20740-3232
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/26/2021
Last updated
08/26/2021
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