Individual
AUDRA PEDDICORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
14 RIDGE RD UNIT K, GREENBELT, MD 20770-2950
(240) 434-1700
Mailing address
14 RIDGE RD UNIT K, GREENBELT, MD 20770-2950
(240) 434-1700
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
25989
MD
Other
Enumeration date
05/24/2022
Last updated
05/24/2022
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