Kendra Blue, LCSW-C
Social Worker, Clinical in Landover, MD. Individual provider (NPI-1).
NPI number1972073179
StatusActive
Last updated in NPPESMay 23, 2024
Details
- NPI
- 1972073179
- Entity type
- Individual (NPI-1)
- Name
- Kendra Blue
- Credential
- LCSW-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 29, 2018
- Certification date
- May 23, 2024
- Last updated
- May 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 12695 | MD | Yes |
Practice location
8240 Professional Pl Ste 200Landover, MD 20785-2215
Phone 301-577-4440 · Fax 301-577-4123
Mailing address
8240 Professional Pl Ste 200Landover, MD 20785-2215
Phone 301-577-4440 · Fax 301-577-4123
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