Organization
SOPHIA RIZVI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOPHIA RIZVI (OWNER)
(301) 974-7316
Entity
Organization
Contact information
Practice address
9712 NORTHERN LAKES LN, LAUREL, MD 20723-5896
(301) 974-7316
Mailing address
9712 NORTHERN LAKES LN, LAUREL, MD 20723-5896
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/25/2020
Last updated
06/25/2020
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