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Organization

ADELE M ASIMOW PHD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ADELE MAN KUEN ASIMOW PHD (PRESIDENT OF CORPORATION)
(301) 977-5477
Entity
Organization

Contact information

Practice address
19517 GALLATIN CT, MONTGOMERY VILLAGE, MD 20886
(301) 977-5477
(301) 990-7289
Mailing address
19517 GALLATIN CT, MONTGOMERY VILLAGE, MD 20886
(301) 977-5477
(301) 990-7289

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
569
MD

Other

Enumeration date
08/05/2006
Last updated
10/24/2007
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