Organization
FAMILY SERVICE FOUNDATION, INC
Active
Other names
FAMILY SERVICE OF PG COUNTY
Organization subpart
No
Provider details
NPI number
Authorized official
DAPHNE SMITH (BILLING MANAGER)
(301) 459-2121
Entity
Organization
Contact information
Practice address
5301 76TH AVE, LANDOVER, MD 20784-1703
(301) 459-2121
(301) 918-9757
Mailing address
5301 76TH AVE, LANDOVER HILLS, MD 20784-1703
(301) 459-2121
(301) 918-9757
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
4163
MD
Other
Enumeration date
03/18/2010
Last updated
05/18/2012
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