Individual
MR. KEVIN SEAN STAFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
2415 RANDOLPH ST NE, WASHINGTON, DC 20018-3135
(202) 813-5661
Mailing address
10230 PRINCE PL APT 208, UPPER MARLBORO, MD 20774-1223
(202) 813-5661
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LC200002128
DC
1041S0200X
School Social Worker
LG50080573
DC
Other
Enumeration date
12/16/2016
Last updated
06/05/2023
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