Individual
MARA IRWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
6411 ORCHARD AVE STE 207, TAKOMA PARK, MD 20912-4712
(410) 236-1882
Mailing address
19801 BAZZELLTON PL, MONTGOMERY VILLAGE, MD 20886-1432
(410) 236-1882
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC8101
MD
Other
Enumeration date
12/18/2017
Last updated
12/18/2017
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