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Individual

CLEMENCE D KADISI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
17125 BERCLAIR TER, ROCKVILLE, MD 20855-2520
(240) 310-5181
Mailing address
17125 BERCLAIR TER, ROCKVILLE, MD 20855-2520
(240) 310-5181

Taxonomy

Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
374U00000X
Home Health Aide
Primary
376K00000X
Nurse's Aide

Other

Enumeration date
03/06/2023
Last updated
03/06/2023
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