Individual
MS. BETH ANN CHARBONNEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
7307 BALTIMORE AVE, SUITE 208, COLLEGE PARK, MD 20740-3231
(301) 345-1919
(301) 345-5779
Mailing address
9718 51ST PL, COLLEGE PARK, MD 20740-1502
(240) 353-3956
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12096
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
404835100
—
MD
Enumeration date
07/08/2006
Last updated
10/13/2011
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