Individual
VIJAYA DEVI PERSAUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSSA, LGSW
Contact information
Practice address
505 CARROLL AVE, LAUREL, MD 20707-4222
(240) 687-2441
Mailing address
505 CARROLL AVE, LAUREL, MD 20707-4222
(240) 687-2441
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
GO7567
MD
Other
Enumeration date
05/11/2011
Last updated
05/11/2011
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