Individual
EMILY KAVANAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 P ST NW STE 410, WASHINGTON, DC 20036-6922
(956) 465-3054
Mailing address
4220 31ST ST, MOUNT RAINIER, MD 20712-1732
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC50082213
DC
Other
Enumeration date
01/24/2020
Last updated
01/24/2020
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