Individual
CANDIDA DELUISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
3000 CONNECTICUT AVE NW, SUITE 306, WASHINGTON, DC 20008-2509
(202) 387-7931
Mailing address
7715 TAKOMA AVE, TAKOMA PARK, MD 20912-4118
(202) 387-7931
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
05565
MD
1041C0700X
Clinical Social Worker
LC301937
DC
Other
Enumeration date
05/01/2007
Last updated
01/06/2012
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