Individual
OLIVIA BOUSSAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3638 BEL PRE RD, APT 34, SILVER SPRING, MD 20906-2609
(240) 938-6343
Mailing address
3638 BEL PRE RD, APT 34, SILVER SPRING, MD 20906-2609
(240) 938-6343
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
374U00000X
Home Health Aide
HHA12638
DC
Other
Enumeration date
01/30/2017
Last updated
06/27/2023
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