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General NPI Number Information
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NPI Number | 1891184818
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Entity Type | Individual
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Provider Name | MARY K. MCINDOE LPC, LCPC
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Gender | Female
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Dates
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Enumeration Date | 01/14/2015
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Last Update Date | 12/27/2023
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Provider Practice Location Address
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Address Line | 13214 PINE RD
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City | BOWIE
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State | MD
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Zip | 20720-4746
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Country | US
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Telephone | 240-206-6064
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Fax | 301-809-0495
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Provider Business Mailing Address
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Address Line | 13214 PINE RD
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City | BOWIE
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State | MD
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Zip | 20720-4746
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Country | US
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Telephone | 240-206-6064
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Fax | 13-809-0495
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | LC5658
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 0701005995
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License Number State | VA
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