Individual
DAIJAH MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 L'ENFANT SQAURE SE, WASHINGTON, DC 20020-1526
(202) 607-6509
Mailing address
1301 LENFANT SQ SE, WASHINGTON, DC 20020-6724
(202) 269-2401
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LG00002333
DC
Other
Enumeration date
12/22/2023
Last updated
12/27/2023
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