Progressive Therapeutic Services | |
4409 Forbes Blvd Suite B Lanham MD 20706-4373 | |
(301) 648-4151 | |
Not Available |
Full Name | Progressive Therapeutic Services |
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Speciality | Counselor - Mental Health |
Location | 4409 Forbes Blvd, Lanham, Maryland |
Authorized Official Name and Position | Wayne Terrence Marshall (PRESIDENT) |
Authorized Official Contact | 3016484151 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Progressive Therapeutic Services 4409 Forbes Blvd Suite B Lanham MD 20706-4373 Ph: (301) 648-4151 | Progressive Therapeutic Services 4409 Forbes Blvd Suite B Lanham MD 20706-4373 Ph: (301) 648-4151 |
NPI Number | 1457559395 |
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Provider Enumeration Date | 07/03/2007 |
Last Update Date | 11/01/2007 |
Identifier | Type | State | Issuer |
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1457559395 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LC2141 (Maryland) | Primary |
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