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Randy W Prout
Mental Health Counselor in Bowie, Maryland
NPI 1265163745

Randy W Prout is a Mental Health Counselor based in Bowie, MD and is specialized in Mental Health. Randy W Prout practices in Bowie, MD. The NPI Number for Randy W Prout is 1265163745 and holds a License No. (Maryland).

The current practice location address for Randy W Prout is 10111 Martin Luther King Jr Hwy Ste 104, Bowie, MD and can be reached out via phone at 301-327-1290.

Location: 10111 Martin Luther King Jr Hwy Ste 104, Bowie, MD, 20720-4225
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265163745
Provider Name
Randy W Prout
Credential
Provider Entity Type
Individual
Gender
Male
Address
10111 Martin Luther King Jr Hwy Ste 104, Bowie, MD, 20720-4225
Phone Number
301-327-1290
Fax Number
Provider Enumeration Date
06/23/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10111 Martin Luther King Jr Hwy Ste 104
City
Bowie
State
Maryland
Zip
20720-4225
Phone Number
301-327-1290
Fax Number
person
Provider Business Mailing Address Details
Address
10111 Martin Luther King Jr Hwy Ste 104
City
Bowie
State
Maryland
Zip
20720-4225
Phone Number
301-327-1290
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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