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Individual

MARYCATHERINE BALCOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4921 1ST ST NW APT 1, WASHINGTON, DC 20011-3355
(413) 446-5969
Mailing address
4921 1ST ST NW APT 1, WASHINGTON, DC 20011-3355
(413) 446-5969

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LG200002545
DC

Other

Enumeration date
07/26/2023
Last updated
07/26/2023
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