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Organization

CHILD AND FAMILY PSYCHOLOGICAL SERVICES OF ROCKVILLE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KENNETH STEFANO PSY.D. (BUSINESS MANAGER)
(301) 320-2498
Entity
Organization

Contact information

Practice address
6155 EXECUTIVE BLVD, ROCKVILLE, MD 20852-3901
(301) 320-2498
Mailing address
6155 EXECUTIVE BLVD, ROCKVILLE, MD 20852-3901
(301) 320-2498

Taxonomy

Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
3166
MD

Other

Enumeration date
06/06/2008
Last updated
06/06/2008
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