Individual
ROBERTA (ROBIN) RAE MIZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMFT
Contact information
Practice address
7034 CARROL AVE., TAKOMA PARK, MD 20912
(301) 270-0078
Mailing address
7034 CARROL AVE., TAKOMA PARK, MD 20912
(301) 270-0078
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LCM215
MD
Other
Enumeration date
10/15/2008
Last updated
10/15/2008
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