Individual
KENNETH MCAULIFFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9475 LOTTSFORD RD, SUITE 250, LARGO, MD 20774-5357
(301) 636-6504
(301) 636-6509
Mailing address
9475 LOTTSFORD RD, SUITE 250, LARGO, MD 20774-5357
(301) 636-6504
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
14555
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14555
MARYLAND SOCIAL WORK LICENSE NUMBER
MD
Enumeration date
08/08/2011
Last updated
03/14/2024
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