| |
4710 Elm St Apt W1304 Bethesda MD 20814-3828 | |
(917) 830-3463 | |
(347) 715-7750 |
Full Name | |
---|---|
Speciality | Social Worker - Clinical |
Location | 4710 Elm St Apt W1304, Bethesda, Maryland |
Authorized Official Name and Position | Mark Mueller Zimmermann (OWNER) |
Authorized Official Contact | 9178303463 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
4710 Elm St Apt W1304 Bethesda MD 20814-3828 Ph: (917) 839-3463 | 4710 Elm St Apt W1304 Bethesda MD 20814-3828 Ph: (917) 830-3463 |
NPI Number | 1386005213 |
---|---|
Provider Enumeration Date | 03/20/2016 |
Last Update Date | 11/15/2024 |
Certification Date | 11/15/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386005213 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 081845 (New York) | Primary |
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