Individual
LAURENCE FABRE-WELMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW C
Contact information
Practice address
200 WOOD HILL RD, ROCKVILLE, MD 20850-8724
(301) 838-4200
(301) 309-2596
Mailing address
200 WOOD HILL RD, ROCKVILLE, MD 20850-8724
(301) 838-4200
(301) 309-2596
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12986
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
65105001
BCBS OF MD
MD
01
—
833836000
MAGELLAN
MD
01
—
A2840158
BCBS OF DC
DC
Enumeration date
08/13/2006
Last updated
06/19/2013
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