Joann B Proctor LC2383

NPI 1396868329 - Counselor - 101YP2500X

NPI Details
NPI 1396868329
Gender Female
Enumeration Date 04/06/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3060 MITCHEVILLE ROAD
SUITE 212
BOWIE MD, 20716, US
Phone (301) 218-5492
Fax
Business Location
15406 JENNINGS LANE
BOWIE MD, 20744, US
Phone (301) 218-7333
Fax
Toxanomy
Taxonomy Code 101YP2500X
License State Maryland
License Number LC2383
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According to our database, Mrs. Joann B Proctor LC2383 NPI is 1396868329, taxonomy code is 101YP2500X and license number is LC2383, license state is located at Maryland. Joann B Proctor LC2383 physically located at 3060 Mitcheville Road, Bowie MD, 20716. NPI Number Joann B Proctor LC2383 has the Individual type.

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1396868329 NPI number is provided on an as is basis without warranty of any kind. 1396868329 is maintained by the National Plan & Provider Enumeration System. The contents of Joann B Proctor LC2383 are for informational purposes only.