Individual
GRANT CHUSTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4350 E WEST HWY STE 200, BETHESDA, MD 20814-4426
(301) 970-4001
Mailing address
4350 E WEST HWY STE 200, BETHESDA, MD 20814-4426
(301) 970-4001
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
30675
MD
Other
Enumeration date
09/15/2023
Last updated
09/15/2023
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