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Individual

KEVIN DANA MORTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LICSW

Contact information

Practice address
650 PENNSYLVANIA AVE SE, SUITE 440, WASHINGTON, DC 20003-4318
(202) 544-5440
(202) 544-3004
Mailing address
650 PENNSYLVANIA AVE SE, SUITE 440, WASHINGTON, DC 20003-4318
(202) 544-5440
(202) 544-3004

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC50078016
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LC50078016
STATE LICENSE
DC
Enumeration date
08/17/2006
Last updated
07/15/2008
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