| Basics Group Practice Llc | |
|
7610 Pennsylvania Ave 103 Forestville MD 20747-4701 | |
| (443) 254-0966 | |
| (301) 423-5359 |
| Full Name | Basics Group Practice Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 7610 Pennsylvania Ave, Forestville, Maryland |
| Authorized Official Name and Position | Daniel Negussie Ferebee (THERAPIST/OWNER) |
| Authorized Official Contact | 4432540966 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Basics Group Practice Llc 7610 Pennsylvania Ave 103 Forestville MD 20747-4701 Ph: () - | Basics Group Practice Llc 7610 Pennsylvania Ave 103 Forestville MD 20747-4701 Ph: (443) 254-0966 |
| NPI Number | 1235444738 |
|---|---|
| Provider Enumeration Date | 08/10/2010 |
| Last Update Date | 08/10/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235444738 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 15032 (Maryland) | Primary |
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