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Terence Gene Anderson

Case Manager/Care Coordinator in Bowie, MD. Individual provider (NPI-1).

NPI number1497455331
StatusActive
Last updated in NPPESApr 13, 2023

Details

NPI
1497455331
Entity type
Individual (NPI-1)
Name
Terence Gene Anderson
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 8, 2023
Certification date
Apr 13, 2023
Last updated
Apr 13, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes
106S00000X Behavior Technician––

Practice location

12416 Gladys Retreat Cir
Bowie, MD 20720-3348

Phone 202-657-3223

Mailing address

12416 Gladys Retreat Cir
Bowie, MD 20720-3348

Phone 202-657-3223

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