Individual
DEMITRI KORNEGAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12805 VICAR WOODS LN, BOWIE, MD 20720-4770
(240) 876-3828
(301) 809-6194
Mailing address
12805 VICAR WOODS LN, BOWIE, MD 20720-4770
(240) 876-3828
(301) 809-6194
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
9050
MD
Other
Enumeration date
02/18/2019
Last updated
02/18/2019
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