Individual
MRS. ERICA ST. BERNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4329 NORTHVIEW DR, BOWIE, MD 20716-2601
(410) 858-0057
Mailing address
14625 BALTIMORE AVE, #884, LAUREL, MD 20707-4902
(410) 858-0057
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LCM628
MD
Other
Enumeration date
03/30/2015
Last updated
02/15/2017
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