Individual
CHRYSTAL MARIE DEWOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
8504 MAPLEVILLE RD, BOONSBORO, MD 21713-1817
(301) 733-9067
Mailing address
4709 MOUNT BRIAR RD, KEEDYSVILLE, MD 21756-1511
(443) 691-8813
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC9662
MD
Other
Enumeration date
08/06/2019
Last updated
08/06/2019
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