Individual
MRS. DONNA MELYNDA HUTT-CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14418 OLD MILL RD STE 201, UPPER MARLBORO, MD 20772-3094
(240) 326-7961
(301) 292-0275
Mailing address
15705 EASINGWOLD LN, UPPER MARLBORO, MD 20774-8021
(301) 437-0365
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC-8800
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0597617959-8
HEALTHCARE PROVIDERS INSURANCE (HPSO)
MD
Enumeration date
05/23/2014
Last updated
06/16/2023
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