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Dmv Mental Health, LLC

Social Worker, Clinical in Gaithersburg, MD. Organization (NPI-2).

NPI number1457052136
StatusActive
Last updated in NPPESMar 10, 2023

Details

NPI
1457052136
Entity type
Organization (NPI-2)
Legal business name
Dmv Mental Health, LLC
Organization subpart
No
Enumeration date
Mar 10, 2023
Certification date
Mar 10, 2023
Last updated
Mar 10, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical––Yes

Practice location

316 Main St Ste 200
Gaithersburg, MD 20878-6551

Phone 202-827-5830 · Fax 240-630-1099

Mailing address

22520 Sweetleaf Ln
Gaithersburg, MD 20882-1450

Phone 202-827-5830 · Fax 240-630-1099

Authorized official

Laura Funkhouser
Owner
2028275830

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