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Individual

REBECCA I MEDRANO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW-C

Contact information

Practice address
6900 GEORGIA AVE NW, WASHINGTON, DC 20307-5001
(202) 782-8009
(202) 782-7589
Mailing address
6900 GEORGIA AVE NW, MCWR-DCA-CCC, WASHINGTON, DC 20307-5001
(202) 782-8009
(202) 782-7589

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12399
MD

Other

Enumeration date
09/30/2010
Last updated
09/30/2010
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