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Organization
SSHEWCHUK88
Active
Organization
SSHEWCHUK88
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN SHEWCHUK LCSW-C (SOCIAL WORKER)
(240) 778-9384
Entity
Organization
Contact information
Practice address
4828 WEST LN, SUITE B, BETHESDA, MD 20814-6338
(240) 778-9384
(240) 778-9384
Mailing address
4828 WEST LN, SUITE B, BETHESDA, MD 20814-6338
(240) 778-9384
(240) 778-9384
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11612
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11612
LICENSE
MD
Enumeration date
10/25/2016
Last updated
10/25/2016
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