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1639665995
RYAN DEFIBAUGH
FREDERICK, MD
NPI
1639665995
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MD LC8499)
Enumeration Date
2018-07-10
Last Update Date
2018-07-10
Business Address
RYAN DEFIBAUGH LCPC, NCC
8006 BROKEN REED CT
FREDERICK, MD 21701-3279
Phone number: 301-867-6577
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Mailing Address
RYAN DEFIBAUGH LCPC, NCC
8006 BROKEN REED CT
FREDERICK, MD 21701-3279
Phone number: 301-867-6577
Copy
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