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Organization
PAUSE, LLC
Active
Organization
PAUSE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEORA BRADEN IBRAHEEM LICSW, LCSW-C (OWNER)
(301) 200-1188
Entity
Organization
Contact information
Practice address
1000 CRESTHAVEN DR, SILVER SPRING, MD 20903-1601
(301) 200-1188
Mailing address
1000 CRESTHAVEN DR, SILVER SPRING, MD 20903-1601
(301) 200-1188
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1457591935
INDIVIDUAL NPI
—
Enumeration date
06/24/2022
Last updated
06/30/2022
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