Individual
LONDON WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
435 21ST ST NE, WASHINGTON, DC 20002-4705
(202) 903-4469
Mailing address
435 21ST ST NE, WASHINGTON, DC 20002-4705
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/20/2017
Last updated
01/20/2017
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