Individual
MRS. THERESE CONLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
10209 SPRUCE WAY, ELLICOTT CITY, MD 21042-1668
(410) 707-7736
Mailing address
10209 SPRUCE WAY, ELLICOTT CITY, MD 21042-1668
(410) 707-7736
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC2064
MD
Other
Enumeration date
02/23/2011
Last updated
02/23/2011
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