Individual
VICTORIA PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
535 PLANTERS WHARF RD, LUSBY, MD 20657-4212
(202) 344-7291
Mailing address
535 PLANTERS WHARF RD, LUSBY, MD 20657-4212
(202) 344-7291
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/14/2023
Last updated
03/14/2023
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