EDISON DAVID ICAZA GALARZA

ROCKVILLE, MD
NPI1508623026
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: MD  LGP14313)
Enumeration Date2024-03-01
Last Update Date2024-03-01
Business Address
EDISON DAVID ICAZA GALARZA LGPC
1307 SEVEN LOCKS RD
ROCKVILLE, MD 20854-2909
Phone number: 240-777-9862
Mailing Address
EDISON DAVID ICAZA GALARZA LGPC
1307 SEVEN LOCKS RD
ROCKVILLE, MD 20854-2909
Phone number: 240-777-9862
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