Provider Demographics
NPI:1508519885
Name:KURFESS, MARY DEFFLEY (PHD, MSSW)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:DEFFLEY
Last Name:KURFESS
Suffix:
Gender:F
Credentials:PHD, MSSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1708 JUSTIN DR
Mailing Address - Street 2:
Mailing Address - City:GAMBRILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21054-2009
Mailing Address - Country:US
Mailing Address - Phone:301-219-1183
Mailing Address - Fax:
Practice Address - Street 1:1708 JUSTIN DR
Practice Address - Street 2:
Practice Address - City:GAMBRILLS
Practice Address - State:MD
Practice Address - Zip Code:21054-2009
Practice Address - Country:US
Practice Address - Phone:301-219-1183
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-27
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD094061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical