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Individual

JACQUELINE BAMBIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LGPC

Contact information

Practice address
10624 KNOLLWOOD CT, WALDORF, MD 20603-3235
(571) 241-0254
(484) 393-4096
Mailing address
10624 KNOLLWOOD CT, WALDORF, MD 20603-3235
(571) 241-0254
(484) 393-4096

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LC12823
MD
101YP2500X
Professional Counselor
Primary
PRC200001582
DC

Other

Enumeration date
06/16/2020
Last updated
11/20/2023
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