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Individual

THERESE MARIE DANIELS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
7310 RITCHIE HWY, #1009, GLEN BURNIE, MD 21061-3065
(410) 768-5988
Mailing address
417 RIDING RIDGE RD, ANNAPOLIS, MD 21403-1670
(215) 694-0932

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC6144
MD
101YP2500X
Professional Counselor
PC006601
PA

Other

Enumeration date
11/06/2012
Last updated
03/10/2015
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