Interdynamics, INC.
Social Worker, Clinical in Lanham, MD. Organization (NPI-2).
NPI number1154767697
StatusActive
Last updated in NPPESMay 10, 2013
Details
- NPI
- 1154767697
- Entity type
- Organization (NPI-2)
- Legal business name
- Interdynamics, INC.
- Organization subpart
- No
- Enumeration date
- May 10, 2013
- Last updated
- May 10, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 14082 | MD | Yes |
Practice location
4601 Forbes BlvdSuite #100
Lanham, MD 20706-4807
Phone 301-306-4590 · Fax 301-306-4590
Mailing address
4601 Forbes BlvdSuite #100
Lanham, MD 20706-4807
Phone 301-306-4590 · Fax 301-306-4590
Authorized official
Mary Mitchell
Administrative Project Manager
3013064590
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