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Organization

FORMA LLP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN JANKOWSKI (CO-OWNER)
(703) 216-0544
Entity
Organization

Contact information

Practice address
3401 12TH ST NE UNIT 29234, WASHINGTON, DC 20017-1127
(703) 216-0544
Mailing address
712 H ST NE STE 2525, WASHINGTON, DC 20002-3627

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
08/24/2023
Last updated
08/24/2023
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