Mcclure, Marilyn Ruth

Mcclure, Marilyn Ruth is an individual health care provider with primary practice located at 11315 Pembrooke Medical Center Suite 112-A, Waldorf MD 20602. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Mcclure, Marilyn Ruth can be contacted via phone (301) 645-2233.

Contact Information

Primary practice address
11315 Pembrooke Medical Center Suite 112-A Waldorf MD 20602
Phone: (301) 645-2233
Fax: (301) 645-3633
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LC0866 Maryland

Profile Details

NPI number 1568470532
LBN Legal business name Mcclure, Marilyn Ruth
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568470532 NPPES
Maryland Other 413463 VALUE OPTIONS
Maryland Other 260971 VALUE OPTIONS
Maryland Other 298AS0 VALUE OPTIONS
Maryland Other 333071 VALUE OPTIONS
Maryland Other J340 0001 VALUE OPTIONS
Maryland Other 4125532 VALUE OPTIONS
Maryland Other 7290615 VALUE OPTIONS

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