Individual
MR. SCHANLEY DOMINIQUE KUCH I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
18509 QUEEN ELIZABETH DR, OLNEY, MD 20832-1347
(301) 802-0872
Mailing address
18509 QUEEN ELIZABETH DR, OLNEY, MD 20832-1347
(301) 802-0872
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC0810
MD
Other
Enumeration date
06/16/2010
Last updated
06/16/2010
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