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Individual

LAUREN ELIZABETH WHEATON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
100 OLD LOVE POINT RD, STEVENSVILLE, MD 21666-2364
(818) 620-5642
Mailing address
100 OLD LOVE POINT RD, STEVENSVILLE, MD 21666-2364
(818) 620-5642

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
0717001497
VA
106H00000X
Marriage & Family Therapist
Primary
LCM769
MD
106H00000X
Marriage & Family Therapist
MFC93389
CA

Other

Enumeration date
03/26/2012
Last updated
01/10/2022
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