| Dcps | |
|
5504 Trout Run Rd Clinton MD 20735 | |
| (202) 673-7385 | |
| Not Available |
| Full Name | Dcps |
|---|---|
| Speciality | Social Worker |
| Location | 5504 Trout Run Rd, Clinton, Maryland |
| Authorized Official Name and Position | Nina Monique Harrison (SOCIAL WORKER) |
| Authorized Official Contact | 2026737385 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dcps 5504 Trout Run Rd Clinton MD 20735-1568 Ph: (202) 673-7385 | Dcps 5504 Trout Run Rd Clinton MD 20735 Ph: (202) 673-7385 |
| NPI Number | 1699103622 |
|---|---|
| Provider Enumeration Date | 10/30/2013 |
| Last Update Date | 10/30/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699103622 | NPI | - | NPPES |
| LG50078138 | Medicaid | DC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | LG50078138 (District Of Columbia) | Primary |
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