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Individual

DR. DIANE R KOSLOW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
6201 EXECUTIVE BLVD, ROCKVILLE, MD 20852-3906
(301) 770-2847
Mailing address
5206 MASSACHUSETTS AVE, BETHESDA, MD 20816-2703
(301) 229-5522

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
02135
MD

Other

Enumeration date
05/22/2007
Last updated
07/11/2007
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