Organization
PRODIGY STUDENT SUPPORT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREEDOM SADIQ DOWDY LPC (FOUNDER/CHIEF EXECUTIVE OFFICER)
(202) 510-4192
Entity
Organization
Contact information
Practice address
2351 24TH ST SE, 1827, WASHINGTON, DC 20020-3426
(202) 510-4192
Mailing address
2351 24TH ST SE, 1827, WASHINGTON, DC 20020-3426
(202) 510-4192
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PRC14292
DC
252Y00000X
Early Intervention Provider Agency
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Other
Enumeration date
01/06/2013
Last updated
01/06/2013
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