Individual
MARJORIE THEARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
14100 FLINT ROCK RD, ROCKVILLE, MD 20853-2653
(301) 603-8842
Mailing address
14100 FLINT ROCK RD, ROCKVILLE, MD 20853-2653
(301) 603-8842
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
G10665
MD
Other
Enumeration date
09/15/2009
Last updated
09/15/2009
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