Individual
BRENTRELL MARIE SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1615 RHODE ISLAND AVE NE, WASHINGTON, DC 20018-1802
(202) 971-9070
Mailing address
8700 BASKERVILLE PL, UPPER MARLBORO, MD 20772-5102
(504) 994-5066
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
LC50081579
DC
1041S0200X
School Social Worker
LC50081579
DC
Other
Enumeration date
09/29/2020
Last updated
09/08/2024
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