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Individual

MARY CHINEDU MPI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2187 FORMAN CT, WALDORF, MD 20601-5607
(301) 404-6560
Mailing address
2187 FORMAN CT, WALDORF, MD 20601-5607
(301) 404-6560

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
R16266
MD
101YM0800X
Mental Health Counselor
R162669
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NP1005434
DC

Other

Enumeration date
09/14/2020
Last updated
08/12/2025
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