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Organization
KALEIDOSCOPE HEART NETWORK
Active
Organization
KALEIDOSCOPE HEART NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADESUWA IZEVBIGIE (FOUNDER/CEO)
(301) 965-0264
Entity
Organization
Contact information
Practice address
1304 FAIRLAKES PL, BOWIE, MD 20721-3100
(301) 965-0264
Mailing address
1304 FAIRLAKES PL, BOWIE, MD 20721-3100
(301) 318-0141
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/14/2022
Last updated
09/13/2022
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