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Organization
LISA LUSE THERAPY
Active
Organization
LISA LUSE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA LUSE LCSW-C (OWNER)
(202) 607-2497
Entity
Organization
Contact information
Practice address
4940 HAMPDEN LN, BETHESDA, MD 20814-2945
(202) 607-2497
Mailing address
2912 RITTENHOUSE ST NW, WASHINGTON, DC 20015-1524
(202) 365-0178
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1548512437
NPI- INDIVIDUAL NUMBER
—
Enumeration date
11/16/2017
Last updated
11/16/2017
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