Individual
MS. THERESA M OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
60 O ST NW, WASHINGTON, DC 20001-1259
(202) 797-8806
Mailing address
1205 WALTER ST SE, WASHINGTON, DC 20003-1449
(202) 547-4647
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC303447
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12154060
CAQH
DC
Enumeration date
10/27/2010
Last updated
10/27/2010
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