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Individual

MRS. MERCY X CRUZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CAC II

Contact information

Practice address
1400 DECATUR ST NW, WASHINGTON, DC 20011-4343
(202) 291-4707
Mailing address
18108 NORTHERN DANCER LN, BOYDS, MD 20841
(240) 426-7163

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
04/29/2013
Last updated
02/19/2016
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