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Organization

ST.JEROME CATHOLIC CHURCH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS REBECCA MARIE MULLAN LCPC (MARRIAGE & FAMILY COUNSELOR)
(301) 927-6684
Entity
Organization

Contact information

Practice address
5205 43RD AVE, HYATTSVILLE, MD 20781-2001
(301) 927-6684
(301) 927-9167
Mailing address
5205 43RD AVE, HYATTSVILLE, MD 20781-2001
(301) 927-6684
(301) 927-9167

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary

Other

Enumeration date
04/23/2018
Last updated
04/23/2018
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