Individual
MRS. AYISHA JONES KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
16701 MELFORD BLVD STE 400, BOWIE, MD 20715-4411
(301) 339-4880
Mailing address
16701 MELFORD BLVD STE 400, BOWIE, MD 20715-4411
(240) 741-5096
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC50079659
DC
Other
Enumeration date
07/15/2016
Last updated
03/24/2023
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