| Bernard M. Raiche Edd Llc | |
|
3430 N High St Olney MD 20832-2202 | |
| (301) 404-4544 | |
| (301) 570-4587 |
| Full Name | Bernard M. Raiche Edd Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3430 N High St, Olney, Maryland |
| Authorized Official Name and Position | Bernard M Raiche (OWNER/LCSW-C) |
| Authorized Official Contact | 3014044544 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bernard M. Raiche Edd Llc 3313 Megans Way Olney MD 20832-2527 Ph: (301) 404-4544 | Bernard M. Raiche Edd Llc 3430 N High St Olney MD 20832-2202 Ph: (301) 404-4544 |
| NPI Number | 1770723314 |
|---|---|
| Provider Enumeration Date | 02/23/2009 |
| Last Update Date | 10/16/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770723314 | NPI | - | NPPES |
| 060000802 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 08957 (Maryland) | Primary |
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