Individual
MS. DIANA GRACE KASSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
509 E A ST, BRUNSWICK, MD 21716-1621
(301) 792-6291
Mailing address
509 E A ST, BRUNSWICK, MD 21716-1621
(301) 792-6291
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC11653
MD
Other
Enumeration date
09/08/2021
Last updated
09/28/2021
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