Individual
FELLONTE L MISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
770 KENYON ST NW, WASHINGTON, DC 20010-1522
(202) 351-9001
Mailing address
770 KENYON ST NW, WASHINGTON, DC 20010-1522
(202) 400-5249
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
31809
MD
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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