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Individual

EMILY WIETMARSCHEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
10005 OLD COLUMBIA RD STE L260, COLUMBIA, MD 21046-1722
(443) 259-0400
Mailing address
8500 16TH ST APT T2, SILVER SPRING, MD 20910-2928

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC8658
MD
101YP2500X
Professional Counselor
LGPC00187
DC

Other

Enumeration date
05/16/2018
Last updated
05/16/2018
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