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Individual

MS. KELLY L DICARLANTONIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.ED, LCMHC. NCC

Contact information

Practice address
53 E PATRICK ST, FREDERICK, MD 21701-5673
(704) 912-4095
(704) 943-0512
Mailing address
9807 GABLE RIDGE TER APT E, ROCKVILLE, MD 20850-4669
(301) 467-0682

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A151100
NC

Other

Enumeration date
11/22/2019
Last updated
01/28/2025
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