Individual
AGUSTIN ALFONSO AGUIRRE HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5503 43RD AVE, HYATTSVILLE, MD 20781-2078
(202) 810-1624
Mailing address
5503 43RD AVE, HYATTSVILLE, MD 20781-1906
(202) 375-8381
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LC200002907
DC
Other
Enumeration date
09/08/2021
Last updated
03/15/2024
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