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Individual

MR. DANIEL M KAVANAUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW, LCSW-C

Contact information

Practice address
5100 WISCONSIN AVE NW, SUITE 300, WASHINGTON, DC 20016-4119
(202) 244-8855
Mailing address
5100 WISCONSIN AVE NW, SUITE 300, WASHINGTON, DC 20016-4119

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
07995
MD
1041C0700X
Clinical Social Worker
Primary
LC50079241
DC

Other

Enumeration date
11/17/2011
Last updated
11/17/2011
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