Organization
BRANDING ATHLETES AS LEGENDARY LEADERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWNTESE CHARLES (CEO)
(240) 643-3894
Entity
Organization
Contact information
Practice address
6617 13TH PL NW, WASHINGTON, DC 20012-2309
(240) 643-3894
Mailing address
6617 13TH PL NW, WASHINGTON, DC 20012-2309
(240) 643-3894
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/29/2021
Last updated
11/29/2021
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