Individual
MARSHA HAYLECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11705 WAYNERIDGE ST, FULTON, MD 20759-9731
(301) 776-0224
Mailing address
11705 WAYNERIDGE ST, FULTON, MD 20759-9731
(301) 776-0224
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
09/18/2019
Last updated
09/18/2019
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