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1669983607
RICHARD EDWARD DEISE
FREDERICK, MD
NPI
1669983607
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP1600X Counselor Pastoral
(Licence: MD LGP3137)
Enumeration Date
2017-10-17
Last Update Date
2017-10-17
Business Address
RICHARD EDWARD DEISE LGPC
226 S JEFFERSON ST
FREDERICK, MD 21701-6205
Phone number: 301-663-6135
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Mailing Address
RICHARD EDWARD DEISE LGPC
417 WILLS CREEK DR
BRUNSWICK, MD 21716-1840
Phone number:
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