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Individual

MS. ELIZABETH DUGGAN BRALLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5652 SHIELDS DR, BETHESDA, MD 20817-3574
(240) 225-0522
Mailing address
11713 N SHORE DR, RESTON, VA 20190-4505
(703) 740-7699

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP10373
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1386161305
CAREFIRST BLUE CROSS BLUE SHIELD
Enumeration date
08/16/2020
Last updated
08/16/2020
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