Individual
KATUMU FRANCES PETTIQUOI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
1010 MONTROSE AVE, LAUREL, MD 20707-3850
(301) 613-6333
Mailing address
1010 MONTROSE AVE, LAUREL, MD 20707-3850
(301) 613-6333
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC1940
MD
Other
Enumeration date
08/06/2008
Last updated
08/06/2008
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