Individual
TERENCE GENE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12416 GLADYS RETREAT CIR, BOWIE, MD 20720-3348
(202) 657-3223
Mailing address
12416 GLADYS RETREAT CIR, BOWIE, MD 20720-3348
(202) 657-3223
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/08/2023
Last updated
04/13/2023
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