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Organization
KATHLEEN A. NARDELLA, LCSW-C, LLC
Active
Organization
KATHLEEN A. NARDELLA, LCSW-C, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN A NARDELLA JD, LCSW-C, LICSW (OWNER)
(301) 775-5373
Entity
Organization
Contact information
Practice address
6203 EXECUTIVE BLVD, ROCKVILLE, MD 20852-3906
(301) 775-5373
Mailing address
350 FORTUNE TER STE C, POTOMAC, MD 20854-2910
(301) 775-5373
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14995
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275971277
NPI INDIVIDUAL
—
Enumeration date
01/01/2014
Last updated
01/01/2014
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