Individual
MARIE J CELESTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
623 RAY DR, SILVER SPRING, MD 20910
(202) 460-1474
Mailing address
623 RAY DR, SILVER SPRING, MD 20910
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2024601474
DEVELOPMENTAL THERAPY
DC
Enumeration date
08/01/2019
Last updated
08/01/2019
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