Organization
ANEW THERAPEUTIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA GORDON MSW, LCSW-C, LICSW (CLINICAL SOCIAL WORKER)
(240) 473-2313
Entity
Organization
Contact information
Practice address
9500 ARENA DR STE 460C, LARGO, MD 20774-3755
(240) 473-2313
Mailing address
137 WESTWAY APT 102, GREENBELT, MD 20770-1991
(240) 473-2313
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
18124
MD
251S00000X
Community/Behavioral Health Agency
LC50078379
DC
Other
Enumeration date
11/15/2017
Last updated
11/15/2017
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