Organization
BASICS GROUP PRACTICE LLC
Active
Organization
BASICS GROUP PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL NEGUSSIE FEREBEE LCSW-C (THERAPIST/OWNER)
(443) 254-0966
Entity
Organization
Contact information
Practice address
7610 PENNSYLVANIA AVE, 103, FORESTVILLE, MD 20747-4701
(443) 254-0966
(301) 423-5359
Mailing address
7610 PENNSYLVANIA AVE, 103, FORESTVILLE, MD 20747-4701
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15032
MD
Other
Enumeration date
08/10/2010
Last updated
08/10/2010
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