| Prackind, Llc | |
|
4500 Forbes Blvd Ste 200w-21 Lanham MD 20706-6312 | |
| (410) 726-1295 | |
| Not Available |
| Full Name | Prackind, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4500 Forbes Blvd Ste 200w-21, Lanham, Maryland |
| Authorized Official Name and Position | Amaris Watson Gale (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 4107261295 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prackind, Llc 4500 Forbes Blvd Ste 200 Lanham MD 20706-6316 Ph: (410) 726-1295 | Prackind, Llc 4500 Forbes Blvd Ste 200w-21 Lanham MD 20706-6312 Ph: (410) 726-1295 |
| NPI Number | 1922579622 |
|---|---|
| Provider Enumeration Date | 12/07/2018 |
| Last Update Date | 07/22/2021 |
| Certification Date | 07/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922579622 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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