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Individual

NADINE MCLEOD-PETERKIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
1214 I ST SE APT 11, WASHINGTON, DC 20003-4103
(202) 249-1000
Mailing address
8757 LINCOLN ST, SAVAGE, MD 20763-9715
(301) 357-3705

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
205078107
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12623553
CAQH PROVIDER
MD
Enumeration date
10/01/2014
Last updated
10/01/2014
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