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1003692005
DESIREE DEVILLE
LAUREL, MD
NPI
1003692005
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MD 30374)
Enumeration Date
2023-09-05
Last Update Date
2023-09-05
Business Address
DESIREE DEVILLE LMSW
531 MAIN ST
LAUREL, MD 20707-4126
Phone number: 240-451-2171
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Mailing Address
DESIREE DEVILLE LMSW
10125 PRINCE PL APT 304
UPPER MARLBORO, MD 20774-1127
Phone number: 202-867-5175
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