Individual
MICHELLE KOUNDOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14702 CROSSWOOD TER, BURTONSVILLE, MD 20866-1362
(301) 915-5945
Mailing address
14702 CROSSWOOD TER, BURTONSVILLE, MD 20866-1362
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/03/2023
Last updated
07/03/2023
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