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Individual

MRS. BEVERLY R SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NCC, LCPC, LPC

Contact information

Practice address
7606 GEORGIAN DR, UPPER MARLBORO, MD 20772-4496
(301) 856-4057
Mailing address
7606 GEORGIAN DR, UPPER MARLBORO, MD 20772-4496
(240) 326-3942

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC1057
MD
101YP2500X
Professional Counselor
PRC13604
DC

Other

Enumeration date
06/06/2012
Last updated
06/06/2012
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