Individual
HOPE GRANDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3800 RESERVOIR RD NW, WASHINGTON, DC 20007-2113
(202) 687-8287
Mailing address
PO BOX 631878, BALTIMORE, MD 21263-1878
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC302359
DC
Other
Enumeration date
08/18/2005
Last updated
05/08/2008
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