Individual
MARTHA ELIZABETH BOENAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGPC
Contact information
Practice address
319 W PATRICK ST, FREDERICK, MD 21701-4855
(240) 888-9642
Mailing address
319 W PATRICK ST, FREDERICK, MD 21701-4855
(240) 888-9642
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP6572
MD
Other
Enumeration date
08/06/2020
Last updated
08/06/2020
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