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Individual

DOREATHA KURTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
14701 GOVERNOR ODEN BOWIE DR, ROOM 4416, UPPER MARLBORO, MD 20772-3046
(301) 780-7870
Mailing address
14701 GOVERNOR ODEN BOWIE DR, ROOM 4416, UPPER MARLBORO, MD 20772-3046
(301) 780-7870

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
AC0518
MD

Other

Enumeration date
07/31/2014
Last updated
07/31/2014
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