Pause, Llc | |
1000 Cresthaven Dr Silver Spring MD 20903-1601 | |
(301) 200-1188 | |
Not Available |
Full Name | Pause, Llc |
---|---|
Speciality | Social Worker - Clinical |
Location | 1000 Cresthaven Dr, Silver Spring, Maryland |
Authorized Official Name and Position | Leora Braden Ibraheem (OWNER) |
Authorized Official Contact | 3012001188 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Pause, Llc 1000 Cresthaven Dr Silver Spring MD 20903-1601 Ph: (301) 200-1188 | Pause, Llc 1000 Cresthaven Dr Silver Spring MD 20903-1601 Ph: (301) 200-1188 |
NPI Number | 1760114185 |
---|---|
Provider Enumeration Date | 06/24/2022 |
Last Update Date | 06/30/2022 |
Certification Date | 06/30/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760114185 | NPI | - | NPPES |
1457591935 | Other | INDIVIDUAL NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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