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Individual

DR. MARIE A. MINOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
5100 AUTH WAY, SUITLAND, MD 20746-4207
(301) 702-5145
(301) 702-5166
Mailing address
2101 E JEFFERSON ST, KAISER PERMANENTE MEDICARE ENROLLMENT, ROCKVILLE, MD 20852-4908
(301) 816-2424
(301) 816-6308

Taxonomy

Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
02738
MD

Other

Enumeration date
12/12/2006
Last updated
01/17/2012
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