Provider First Line Business Practice Location Address:
1107 SHOEMAKER BLDG.
Provider Second Line Business Practice Location Address:
U. OF MD COUNSELING CENTER
Provider Business Practice Location Address City Name:
GLENN DALE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20769
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-442-3593
Provider Business Practice Location Address Fax Number:
301-314-9206
Provider Enumeration Date:
05/03/2007