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Liberty Deffenbaugh
Professional Counselor in Severn, Maryland
NPI 1962134247

Liberty Deffenbaugh is a Professional Counselor based in Severn, MD and is specialized in Professional. Liberty Deffenbaugh practices in Severn, MD. The NPI Number for Liberty Deffenbaugh is 1962134247 and holds a License No. LGP12814 (Maryland).

The current practice location address for Liberty Deffenbaugh is 8011 Ponderosa Dr, Severn, MD and can be reached out via phone at 443-569-6905.

Location: 8011 Ponderosa Dr, Severn, MD, 21144-1751
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962134247
Provider Name
Liberty Deffenbaugh
Credential
Provider Entity Type
Individual
Gender
Female
Address
8011 Ponderosa Dr, Severn, MD, 21144-1751
Phone Number
443-569-6905
Fax Number
Provider Enumeration Date
06/27/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8011 Ponderosa Dr
City
Severn
State
Maryland
Zip
21144-1751
Phone Number
443-569-6905
Fax Number
person
Provider Business Mailing Address Details
Address
8011 Ponderosa Dr
City
Severn
State
Maryland
Zip
21144-1751
Phone Number
443-569-6905
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
LGP12814 (Maryland)
Definition
Definition to come...
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