Individual
MRS. MICHELE LIVINGOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
13415 QUEENS LN, FORT WASHINGTON, MD 20744-6518
(703) 624-2812
Mailing address
13415 QUEENS LN, FORT WASHINGTON, MD 20744-6518
(703) 624-2812
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
20033
MD
Other
Enumeration date
10/08/2014
Last updated
10/09/2014
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