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Organization
LW SUPPORT SERVICES
Active
Organization
LW SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE THOMAS (PRESIDENT)
(202) 460-6876
Entity
Organization
Contact information
Practice address
1210 INGRAHAM ST NW, WASHINGTON, DC 20011-3602
(202) 460-6876
(202) 559-5344
Mailing address
6218 GEORGIA AVE NW STE 1437, WASHINGTON, DC 20011-5125
(202) 460-6876
(202) 559-9344
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
—
NULL
2255A2300X
Athletic Trainer
—
NULL
2255A2300X
Athletic Trainer
—
—
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
NULL
261QH0100X
Health Service Clinic/Center
—
NULL
Other
Enumeration date
01/23/2024
Last updated
01/23/2024
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