Organization
AMACHI FOUNDATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PARIS GASQUE LCSW (LICENSED CLINICAL SOCIAL WORKER)
(202) 341-3140
Entity
Organization
Contact information
Practice address
9701 APOLLO DR STE 100, LARGO, MD 20774-4785
(202) 341-3140
(240) 838-3142
Mailing address
9701 APOLLO DR STE 100, LARGO, MD 20774-4785
(202) 341-3140
(240) 838-3142
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/02/2018
Last updated
04/02/2018
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