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1508219155
DORETHA DESTEFANO
UPPER MARLBORO, MD
NPI
1508219155
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MD LGP6125)
Enumeration Date
2016-07-19
Last Update Date
2016-09-29
Business Address
Ms. DORETHA DESTEFANO LGPC
14701 GOVERNOR ODEN BOWIE DR
UPPER MARLBORO, MD 20772-3046
Phone number: 301-952-4455
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Mailing Address
Ms. DORETHA DESTEFANO LGPC
14701 GOVERNOR ODEN BOWIE DR
UPPER MARLBORO, MD 20772-3046
Phone number: 301-952-4455
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