Asenith Debbra Mayberry CAC-AD, ADS

NPI 1457620064 - Counselor - 101YA0400X

NPI Details
NPI 1457620064
Gender Female
Enumeration Date 12/28/2011
Last Updated 12/28/2011
Entity Type Individual
Active Over 4 years ago
Practice Location
409 ADDISON RD S
CAPITOL HEIGHTS MD, 20743-3237, US
Phone (301) 808-0322
Fax
Business Location
409 ADDISON RD S
CAPITOL HEIGHTS MD, 20743-3237, US
Phone (301) 808-0322
Fax
Toxanomy
Taxonomy Code 101YA0400X
License State Maryland
License Number AC1089
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According to our database, Ms. Asenith Debbra Mayberry CAC-AD, ADS NPI is 1457620064, taxonomy code is 101YA0400X and license number is AC1089, license state is located at Maryland. Asenith Debbra Mayberry CAC-AD, ADS physically located at 409 Addison Rd S, Capitol Heights MD, 20743-3237. NPI Number Asenith Debbra Mayberry CAC-AD, ADS has the Individual type.

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1457620064 NPI number is provided on an as is basis without warranty of any kind. 1457620064 is maintained by the National Plan & Provider Enumeration System. The contents of Asenith Debbra Mayberry CAC-AD, ADS are for informational purposes only.