Individual
MYRIAM DODARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2503 CRESTVIEW DR, FALLSTON, MD 21047-2101
(410) 652-5068
Mailing address
PO BOX 563, FALLSTON, MD 21047-0563
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2022004482
MD
Other
Enumeration date
04/27/2022
Last updated
04/27/2022
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