Individual
JUDITH WENDKOS LISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW-C
Contact information
Practice address
4405 EAST WEST HWY, SUITE 301, BETEHSDA, MD 20814-4522
(301) 652-1582
Mailing address
4405 E WEST HWY, SUITE 301, BETHESDA, MD 20814-4522
(301) 652-1582
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13434
MD
Other
Enumeration date
03/02/2012
Last updated
03/02/2012
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