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1548789993
TEONNA L WALLOP
WALDORF, MD
NPI
1548789993
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MD LC4121)
Enumeration Date
2017-09-18
Last Update Date
2017-09-18
Business Address
TEONNA L WALLOP LCPC
1711 BRIGHTWELL CT
WALDORF, MD 20602-1634
Phone number: 301-850-1121
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Mailing Address
TEONNA L WALLOP LCPC
1711 BRIGHTWELL CT
WALDORF, MD 20602-1634
Phone number: 202-580-9029
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