About Dominique Forsman
She is located at 5419 Deale Churchton Rd Ste 104, , in Churchton, MD 20733. Appointment can be made via the phone number (410) 541-6686.
Dominique Forsman - Address, Phone & Website
5419 Deale Churchton Rd Ste 104, , Churchton, MD 20733
(410) 541-6686
Medical Specialties & Taxonomy codes
| Primary | Specialty | Taxonomy Code |
|---|---|---|
| Yes | Mental Health Counselor | 101YM0800X |
| No | Counselor | 101Y00000X |
Licenses
| State | License Number |
|---|---|
| Maryland | LGP15666 |