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Organization

BEAUTY COUNSELING AND WELLNESS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAKISHA CHARMAINE MCCROREY MS (LICENSED PROFESSIONAL COUNSELOR)
(860) 913-0575
Entity
Organization

Contact information

Practice address
9701 APOLLO DR STE 100, LARGO, MD 20774-4785
(240) 569-0905
Mailing address
9701 APOLLO DR STE 100, LARGO, MD 20774-4785
(240) 569-0905

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
09/01/2021
Last updated
09/01/2021
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