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Individual

LAUREN SHEA WAIKART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
6804 RANNOCH RD, BETHESDA, MD 20817-5476
(804) 426-7965
Mailing address
UNIT 2190 BOX 202, DPO, AE 09895-0202

Taxonomy

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

Other

Enumeration date
08/29/2016
Last updated
05/12/2020
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