Individual
GUI IT WOUATOUO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1427 GOOD HOPE RD SE, WASHINGTON, DC 20020-5614
(240) 440-2550
Mailing address
13633 WATER FOWL WAY, UPPER MARLBORO, MD 20774-7115
(240) 440-2550
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/21/2023
Last updated
10/18/2023
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