Jwsmith | |
13005 Marthas Choice Cir Bowie MD 20720-4704 | |
(240) 375-6440 | |
Not Available |
Full Name | Jwsmith |
---|---|
Speciality | Counselor - Mental Health |
Location | 13005 Marthas Choice Cir, Bowie, Maryland |
Authorized Official Name and Position | Wanda Smith (CLINICAL SOCIAL WORKER) |
Authorized Official Contact | 2403756440 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jwsmith 13005 Marthas Choice Cir Bowie MD 20720-4704 Ph: (240) 375-6440 | Jwsmith 13005 Marthas Choice Cir Bowie MD 20720-4704 Ph: (240) 375-6440 |
NPI Number | 1205443595 |
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Provider Enumeration Date | 09/30/2020 |
Last Update Date | 09/30/2020 |
Certification Date | 09/30/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205443595 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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