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Individual

MRS. CATHERINE ITALIA CONLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW-C

Contact information

Practice address
12301 ACADEMY WAY, ROCKVILLE, MD 20852-2000
(443) 923-4183
(443) 923-4181
Mailing address
8718 PINE SAP LN, JESSUP, MD 20794-4903
(301) 461-1341

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13713
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
15512
MD
Enumeration date
11/04/2015
Last updated
11/04/2015
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