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Individual

ELAINE BYERGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW-C

Contact information

Practice address
6040 SOUTHPORT DR, BETHESDA, MD 20814-1848
(301) 493-4200
(301) 493-6209
Mailing address
10100 DICKENS AVE, BETHESDA, MD 20814-2110
(301) 493-4200
(301) 493-6209

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
07327
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
64228501
CAREFIRST BCBS NON PAR #
MD
Enumeration date
06/30/2006
Last updated
07/09/2007
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