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Individual

KEELY SHERELL WALSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW-C

Contact information

Practice address
11680 DOOLITTLE DR, WALDORF, MD 20602-3801
(240) 607-2756
Mailing address
11680 DOOLITTLE DR, WALDORF, MD 20602-3801

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
17029
MD

Other

Enumeration date
02/13/2014
Last updated
12/07/2020
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