Individual
DANIELLE FENWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10433B STEVENSON RD, STEVENSON, MD 21153-0602
(410) 205-9202
Mailing address
10433B STEVENSON RD, STEVENSON, MD 21153-0602
(410) 205-9202
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
A0320
MD
Other
Enumeration date
02/18/2021
Last updated
02/18/2021
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