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Individual

LIDA MARY SUNDERLAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATR-BC, LPC, LCPAT

Contact information

Practice address
5039 CONNECTICUT AVE NW STE 7, WASHINGTON, DC 20008-2056
(202) 660-1422
Mailing address
5039 CONNECTICUT AVE NW STE 7, WASHINGTON, DC 20008-2056
(202) 660-1422

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PRC15485
DC
221700000X
Art Therapist
ATC282
MD

Other

Enumeration date
08/11/2021
Last updated
03/04/2024
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