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Organization

WALTER REED ARMY MEDICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KARMIN REEVES JENKINS LCSW C (SOCIAL WORKER)
(202) 356-1012
Entity
Organization

Contact information

Practice address
6900 GEORGIA AVE NW BLDG 14, WASHINGTON, DC 20307-0003
(202) 356-1012
Mailing address
6900 GEORGIA AVE NW BLDG 14, WASHINGTON, DC 20307-0003
(202) 356-1012

Taxonomy

Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
09949
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
09949
LICENSURE NUMBER (LCSW-C )WITH THE STATE OF MARYLAND
MD
Enumeration date
05/21/2008
Last updated
05/21/2008
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