Individual
JORGE MEMBRENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
25 ADAMS ST NW, WASHINGTON, DC 20001-1025
(703) 623-3701
Mailing address
25 ADAMS ST NW, WASHINGTON, DC 20001-1025
(703) 623-3701
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC50081143
DC
Other
Enumeration date
03/13/2017
Last updated
12/17/2018
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