Individual
MRS. JOANN B PROCTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LC2383
Contact information
Practice address
3060 MITCHEVILLE ROAD, SUITE 212, BOWIE, MD 20716
(301) 218-5492
Mailing address
15406 JENNINGS LANE, BOWIE, MD 20744
(301) 218-7333
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC2383
MD
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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