Individual
AMY CRAIG-VAN GRACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
1680 E GUDE DR, SUITE 112, ROCKVILLE, MD 20850-1360
(240) 483-3873
(240) 558-3854
Mailing address
1680 E GUDE DR, STE 112, ROCKVILLE, MD 20850-5360
(240) 483-3873
(301) 399-0523
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12665
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
53398000
—
MD
Enumeration date
01/13/2011
Last updated
12/21/2016
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