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Desiree Deville, LMSW

Counselor, Mental Health in Laurel, MD. Individual provider (NPI-1).

NPI number1003692005
StatusActive
Last updated in NPPESSep 5, 2023

Details

NPI
1003692005
Entity type
Individual (NPI-1)
Name
Desiree Deville
Credential
LMSW
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 5, 2023
Certification date
Sep 5, 2023
Last updated
Sep 5, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health30374MDYes

Practice location

531 Main St
Laurel, MD 20707-4126

Phone 240-451-2171

Mailing address

10125 Prince Pl Apt 304
Upper Marlboro, MD 20774-1127

Phone 202-867-5175

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