Individual
MISS LISETTE DUPREE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12702 THRUSH PL, UPPER MARLBORO, MD 20772-5282
(240) 797-9460
Mailing address
12702 THRUSH PL, UPPER MARLBORO, MD 20772-5282
(240) 797-9460
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
NA
MD
Other
Enumeration date
03/22/2023
Last updated
03/22/2023
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