Individual
LAKISHA IRENE POGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 D ST SE, WASHINGTON, DC 20003-1821
(202) 774-0667
Mailing address
1524 EVARTS ST NE, WASHINGTON, DC 20018-2018
(202) 277-6354
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000
0000000
DC
Enumeration date
07/20/2020
Last updated
07/20/2020
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