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Individual

HARVEY BRIAN BERTHIAUME

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
L.C.S.W.-C.

Contact information

Practice address
9055 SHADY GROVE CT, GAITHERSBURG, MD 20877-1301
(301) 330-0400
(301) 948-4333
Mailing address
9055 SHADY GROVE CT, GAITHERSBURG, MD 20877-1301
(301) 330-0400
(301) 948-4333

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
06887
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
23070019
BLUE CROSS BLUE SHIELD
DC
01
376673
UNITED HEALTHCARE-MAMSI
MD
Enumeration date
05/26/2006
Last updated
07/08/2007
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