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Individual

PETER MODLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCPC

Contact information

Practice address
8720 GEORGIA AVE STE 906, SILVER SPRING, MD 20910-3635
(301) 893-4733
Mailing address
1220 E WEST HWY APT 1216, SILVER SPRING, MD 20910-6211
(301) 893-4733

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP9411
MD

Other

Enumeration date
09/15/2022
Last updated
12/14/2022
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