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Organization
SUBURBAN HOSPITAL
Active
Organization
SUBURBAN HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA KANE-DAVIDSON LCPC (DIRECTOR)
(301) 896-6608
Entity
Organization
Contact information
Practice address
6001 MONTROSE RD, ROCKVILLE, MD 20852-4817
(301) 896-6616
(301) 881-7428
Mailing address
6001 MONTROSE RD, ROCKVILLE, MD 20852-4817
(301) 896-6616
(301) 881-7428
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13431
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13431
STATE OF MD LICENSED CERTIFIED SOCIAL WORKER
MD
Enumeration date
06/16/2014
Last updated
06/16/2014
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