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Individual

DANE FOX

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
1111 BENFIELD BLVD STE 200, MILLERSVILLE, MD 21108-3004
(410) 991-7938
Mailing address
2905 MAIN ST, EDGEWATER, MD 21037-1334
(410) 991-7938

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC3938
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0
N/A
Enumeration date
08/17/2011
Last updated
12/07/2023
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