Individual
MS. MIA PHAIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
110 IRVING ST NW, WASHINGTON, DC 20010-3017
(202) 877-7000
Mailing address
1011 MONTGOMERY ST, LAUREL, MD 20707-3413
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC200002825
DC
Other
Enumeration date
03/29/2024
Last updated
07/07/2024
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