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Individual

KELLY WRIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
1300 MERCANTILE LN STE 129-29, LARGO, MD 20774-5327
(240) 421-5853
Mailing address
16609 MAYLON CT, BRANDYWINE, MD 20613-3807
(240) 988-3532

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC2652
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
LGP291
MD
Enumeration date
05/25/2007
Last updated
01/09/2025
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