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Individual

MS. ANITA N MAINA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LICSW, LCSW-C

Contact information

Practice address
1025 VERMONT AVE NW STE 310, WASHINGTON, DC 20005-6302
(202) 293-4580
Mailing address
3303 BEECH AVE, BALTIMORE, MD 21211-2607

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
25248
MD
1041C0700X
Clinical Social Worker
Primary
LC50082016
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
25248
MARYLAND STATE BOARD OF SOCIAL WORK EXAMINERS
MD
01
LC50082016
DISTRICT OF COLUMBIA DEPARTMENT OF HEALTH
DC
Enumeration date
04/10/2019
Last updated
10/17/2022
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