Organization
EASTER SEALS DC MD VA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH GUROFF (SENIOR VICE PRESIDENT)
(301) 920-9712
Entity
Organization
Contact information
Practice address
6400B ALLENTOWN RD, TEMPLE HILLS, MD 20748-2611
(301) 920-9712
Mailing address
1420 SPRING ST, SILVER SPRING, MD 20910-2701
(301) 920-9712
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
01/31/2025
Last updated
01/31/2025
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