person
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. You can also correspond with Liberty Deffenbaugh through the mailing address at 8011 PONDEROSA DR, SEVERN, MD - 21144-1751 (mailing address contact number: ).

Location: 8011 Ponderosa Dr, Severn, MD, 21144-1751
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
State
Zip
21144-1751
Phone Number
443-569-6905
Fax Number
person
Provider Business Mailing Address Details
Address
8011 Ponderosa Dr
City
State
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
License No.
LGP12814 (Maryland)
Definition
Definition to come...
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