Individual
DR. DERRICO WYLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, LCPC, NCC
Contact information
Practice address
5713 LINDA LN, CAMP SPRINGS, MD 20748-2331
(615) 300-7092
Mailing address
5713 LINDA LN, CAMP SPRINGS, MD 20748-2331
(615) 300-7092
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
MD
Other
Enumeration date
03/01/2007
Last updated
11/17/2019
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