Individual provider · NPI-1

Iris Barahona, LICSW, LICSW-C

Social Worker, Clinical · Bowie, MD

NPI number1730833484
StatusActive
Last updated in NPPESJan 29, 2025

Details

NPI
1730833484
Entity type
Individual (NPI-1)
Name
Iris Barahona
Credential
LICSW, LICSW-C
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 10, 2022
Certification date
Jan 29, 2025
Last updated
Jan 29, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, ClinicalLC50080606DCYes

Practice location

12318 Kemmerton Ln
Bowie, MD 20715-2721

Phone 301-526-5037

Mailing address

12318 Kemmerton Ln
Bowie, MD 20715-2721

Phone 301-526-5037

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