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Organization

PROGRESSIVE THERAPEUTIC SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. WAYNE TERRENCE MARSHALL LCPC (PRESIDENT)
(301) 648-4151
Entity
Organization

Contact information

Practice address
4409 FORBES BLVD, SUITE B, LANHAM, MD 20706-4373
(301) 648-4151
Mailing address
4409 FORBES BLVD, SUITE B, LANHAM, MD 20706-4373
(301) 648-4151

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC2141
MD

Other

Enumeration date
07/03/2007
Last updated
11/01/2007
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