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Individual

HEIDI PAULA VANDERWALDE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
7238 MUNCASTER MILL RD STE 306, DERWOOD, MD 20855-1215
(301) 869-1334
(301) 366-0824
Mailing address
7238 MUNCASTER MILL RD STE 306, DERWOOD, MD 20855-1215
(301) 869-1334
(301) 366-0824

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC 1058
MD

Other

Enumeration date
05/21/2007
Last updated
10/24/2023
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