Organization
INTERDYNAMICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY MITCHELL (ADMINISTRATIVE PROJECT MANAGER)
(301) 306-4590
Entity
Organization
Contact information
Practice address
4601 FORBES BLVD, SUITE #100, LANHAM, MD 20706-4807
(301) 306-4590
(301) 306-4590
Mailing address
4601 FORBES BLVD, SUITE #100, LANHAM, MD 20706-4807
(301) 306-4590
(301) 306-4590
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14082
MD
Other
Enumeration date
05/10/2013
Last updated
05/10/2013
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