Stacey Abraham, LICSW
Social Worker, Clinical in Washington, DC. Individual provider (NPI-1).
NPI number1053729632
StatusActive
Last updated in NPPESJul 28, 2014
Details
- NPI
- 1053729632
- Entity type
- Individual (NPI-1)
- Name
- Stacey Abraham
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 28, 2014
- Last updated
- Jul 28, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | LC50079488 | DC | Yes |
Practice location
65 Massachusetts Ave NwWashington, DC 20001-1431
Phone 301-262-2270 · Fax 410-569-0094
Mailing address
2208 Mountain AveScotch Plains, NJ 07076-1304
Phone 301-262-2270 · Fax 410-569-0094
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