Individual
DANIELLE LASURE-BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.D.
Contact information
Practice address
11600 CEDARVILLE ROAD, BRANDYWINE, MD 20613
(410) 569-9497
(410) 569-0094
Mailing address
2227 OLD EMMORTON ROAD, SUITE 119, BEL AIR, MD 21015
(410) 569-9497
(410) 569-0094
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC3163
MD
Other
Enumeration date
10/28/2011
Last updated
10/28/2011
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