Organization
ORLESA GROSVENOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ORLESA POOLE LICSW (OWNER)
(352) 208-4497
Entity
Organization
Contact information
Practice address
350 G ST SW, N620, WASHINGTON, DC 20024-3129
(352) 208-4497
Mailing address
350 G ST SW, N620, WASHINGTON, DC 20024-3129
(352) 208-4497
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LC50081368
DC
Other
Enumeration date
03/13/2018
Last updated
02/06/2019
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