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Organization
INTELLECTUAL AND DEVELOPMENTAL DISABILITIES SERVICES SOLUTIONS
Active
Organization
INTELLECTUAL AND DEVELOPMENTAL DISABILITIES SERVICES SOLUTIONS
Active
Other names
IDDSS
Organization subpart
No
Provider details
NPI number
Authorized official
MILDRED TEMBUNDE (CREDENTIALING)
(571) 337-5732
Entity
Organization
Contact information
Practice address
712 15TH ST NE, WASHINGTON, DC 20002-4508
(571) 337-5732
Mailing address
712 15TH ST NE, WASHINGTON, DC 20002-4508
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
NULL
Other
Enumeration date
04/05/2021
Last updated
04/05/2021
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