Organization
CHANGES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CID VORDENBAUM (OWNER)
(202) 701-3831
Entity
Organization
Contact information
Practice address
16154 HUDSON RD, MILTON, DE 19968-3605
(202) 701-3831
Mailing address
16154 HUDSON RD, MILTON, DE 19968-3605
(202) 701-3831
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/02/2025
Last updated
04/02/2025
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