Individual
CHRISTOPHER MARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16220 FREDERICK RD, SUITE 502, GAITHERSBURG, MD 20877-4039
(301) 978-9750
Mailing address
23513 ELK GROVE TER, DAMASCUS, MD 20872-2908
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
03871
MD
Other
Enumeration date
06/21/2016
Last updated
06/21/2016
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