Individual
HOLLY FUNGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
263 PROSPECT BAY DR W, GRASONVILLE, MD 21638-1186
(301) 509-7684
Mailing address
263 PROSPECT BAY DR W, GRASONVILLE, MD 21638-1186
(301) 509-7684
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
16163
MD
Other
Enumeration date
04/19/2021
Last updated
04/19/2021
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