Individual
DR. MARIE FONROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5010 SUNNYSIDE AVE STE 309, BELTSVILLE, MD 20705-2320
(301) 474-0060
(301) 474-0068
Mailing address
5010 SUNNYSIDE AVE STE 309, BELTSVILLE, MD 20705-2320
(301) 474-0060
(301) 474-0068
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LC3487
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036798200
—
MD
Enumeration date
03/27/2012
Last updated
03/27/2012
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