Individual
SAMUEL WOLDEMICHAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3415 HAMILTON ST STE 9, HYATTSVILLE, MD 20782-3953
(301) 538-5659
Mailing address
8604 NIGHTINGALE DR, LANHAM, MD 20706-3953
(301) 538-5659
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC10486
MD
Other
Enumeration date
07/29/2020
Last updated
07/29/2020
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