| Stephen Lerch Licsw | |
|
3805 31st St Mount Rainier MD 20712-2014 | |
| (301) 392-7295 | |
| Not Available |
| Full Name | Stephen Lerch Licsw |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3805 31st St, Mount Rainier, Maryland |
| Authorized Official Name and Position | Stephen Lerch (PRESIDENT) |
| Authorized Official Contact | 3013927295 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen Lerch Licsw 3805 31st St Mount Rainier MD 20712-2014 Ph: () - | Stephen Lerch Licsw 3805 31st St Mount Rainier MD 20712-2014 Ph: (301) 392-7295 |
| NPI Number | 1134867674 |
|---|---|
| Provider Enumeration Date | 05/24/2022 |
| Last Update Date | 05/24/2022 |
| Certification Date | 10/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134867674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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