| Lisamarie Eustice, Llc | |
|
4829 West Ln Bethesda MD 20814-5317 | |
| (301) 802-5697 | |
| Not Available |
| Full Name | Lisamarie Eustice, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4829 West Ln, Bethesda, Maryland |
| Authorized Official Name and Position | Lisamarie Eustice (CLINICIAN/BUSINESS CO-OWNER) |
| Authorized Official Contact | 3018025697 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisamarie Eustice, Llc 4829 West Ln Bethesda MD 20814-5317 Ph: (301) 802-5697 | Lisamarie Eustice, Llc 4829 West Ln Bethesda MD 20814-5317 Ph: (301) 802-5697 |
| NPI Number | 1558695338 |
|---|---|
| Provider Enumeration Date | 09/25/2009 |
| Last Update Date | 10/18/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558695338 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 13843 (Maryland) | Primary |
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