Individual
SUSAN MANDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 BRADDOCK RD, FROSTBURG, MD 21532-2303
(301) 687-4234
Mailing address
29 TEABERRY LN, FROSTBURG, MD 21532-2318
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
06278
MD
Other
Enumeration date
02/28/2020
Last updated
03/02/2020
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