Individual
IRENE MICHELLE MEDNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
13809 GREY COLT DR, NORTH POTOMAC, MD 20878-3865
(512) 506-9614
Mailing address
13809 GREY COLT DR, NORTH POTOMAC, MD 20878-3865
(512) 506-9614
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
16805
MD
1041C0700X
Clinical Social Worker
38010
TX
Other
Enumeration date
09/14/2006
Last updated
08/02/2022
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