Individual
MRS. MARCELLA LOUISE DEBOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
15957 ALAMEDA DR, BOWIE, MD 20716-1384
(412) 719-4061
Mailing address
15957 ALAMEDA DR, BOWIE, MD 20716-1384
(412) 719-4061
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401013715
MI
Other
Enumeration date
03/06/2018
Last updated
03/06/2018
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