| Lesdelices Llc | |
|
7905 Brethren Dr Gaithersburg MD 20879-5640 | |
| (240) 686-5614 | |
| Not Available |
| Full Name | Lesdelices Llc |
|---|---|
| Speciality | Social Worker |
| Location | 7905 Brethren Dr, Gaithersburg, Maryland |
| Authorized Official Name and Position | Marie B Delices (VP) |
| Authorized Official Contact | 2406865614 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lesdelices Llc 7905 Brethren Dr Gaithersburg MD 20879-5640 Ph: (240) 686-5614 | Lesdelices Llc 7905 Brethren Dr Gaithersburg MD 20879-5640 Ph: (240) 686-5614 |
| NPI Number | 1609461888 |
|---|---|
| Provider Enumeration Date | 03/09/2021 |
| Last Update Date | 03/09/2021 |
| Certification Date | 03/09/2021 |
| Medicare PECOS PAC ID | 2961810635 |
|---|---|
| Medicare Enrollment ID | O20210419000140 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609461888 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Marie Delices |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487130787 PECOS PAC ID: 3870826183 Enrollment ID: I20190611000081 |
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