Individual
MS. ROBERTA M BOAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
3000 CONNECTICUT AVE NW, #301, WASHINGTON, DC 20008-2509
(202) 265-0049
(202) 667-2221
Mailing address
2900 CONNECTICUT AVE NW, #226, WASHINGTON, DC 20008-1444
(202) 265-0049
(202) 667-2221
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
853
MD
1041C0700X
Clinical Social Worker
Primary
LC300765
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A204
PROVIDER
DC
Enumeration date
10/12/2006
Last updated
02/01/2008
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