Individual
IMANI COLBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
13803 PINTAIL CT, UPPER MARLBORO, MD 20774-7106
(240) 462-3914
Mailing address
13803 PINTAIL CT, UPPER MARLBORO, MD 20774-7106
(240) 462-3914
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
20857
MD
Other
Enumeration date
08/23/2018
Last updated
08/23/2018
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