Organization
RAFIKI CONSORTIUM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM HENRY GREGORY JR. PH.D. (DIRECTOR)
(410) 521-5818
Entity
Organization
Contact information
Practice address
9985 VILLAGE GREEN DR, WOODSTOCK, MD 21163-1155
(410) 521-5818
(410) 521-4504
Mailing address
9985 VILLAGE GREEN DR, WOODSTOCK, MD 21163-1155
(410) 521-5818
(410) 521-4504
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
391
DC
Other
Enumeration date
05/12/2010
Last updated
05/12/2010
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