Individual
BARBARA BAZEMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12 S SUMMIT AVE STE 100, GAITHERSBURG, MD 20877-2090
(301) 517-6463
Mailing address
460 BLOSSOM LN, FREDERICK, MD 21701-1228
(702) 372-7580
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LGPC7715
MD
101YP2500X
Professional Counselor
Primary
LC13686
MD
Other
Enumeration date
11/18/2019
Last updated
03/15/2023
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