Organization
CONNIE WESLEY LCMFT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONSTANCE WESLEY MS, LCMFT (MARRIAGE AND FAMILY THERAPIST)
(443) 418-6646
Entity
Organization
Contact information
Practice address
111 HOLLING DR, FREDERICK, MD 21701-5051
(443) 418-6646
Mailing address
1562 DOCKSIDE DR, FREDERICK, MD 21701-4473
(443) 418-6646
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/07/2020
Last updated
08/07/2020
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