Individual
KAREN D GUILLORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISCW
Contact information
Practice address
801 PENNSYLVANIA AVE SE STE 201, WASHINGTON, DC 20003-2152
(202) 546-1512
(202) 608-4286
Mailing address
801 PENNSYLVANIA AVE SE STE 201, WASHINGTON, DC 20003-2152
(202) 546-1512
(202) 608-4286
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
12404
MD
1041C0700X
Clinical Social Worker
Primary
LC50077810
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23722
CHARTERED MEDICIAD
DC
01
—
289111
AMERIGROUP MEDICAID
DC
01
—
5326
HEALTHRIGHT MEDICAID
DC
Enumeration date
05/24/2007
Last updated
07/08/2007
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