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Individual

MS. DENISE MARIE PRENDERGAST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2691 MITSCHER RD SW BLDG 414, WASHINGTON, DC 20373-5108
(202) 685-8010
Mailing address
3313 COMMONWEALTH AVE APT C, ALEXANDRIA, VA 22305-2834
(434) 470-0459

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904007886
VA

Other

Enumeration date
07/17/2017
Last updated
07/17/2017
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