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Individual

WILLIE RASHID FLEWELLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LICSW

Contact information

Practice address
122 U ST NW, WASHINGTON, DC 20422-0001
(202) 745-8000
(202) 518-4697
Mailing address
122 U ST NW, WASHINGTON, DC 20422-0001

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
C-00746
MI
1041C0700X
Clinical Social Worker
Primary
LC50078620
DC

Other

Enumeration date
02/14/2007
Last updated
02/15/2009
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