Individual
ATIM BASSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
6100 RADIO STATION RD, LA PLATA, MD 20646-3314
(301) 609-9887
Mailing address
14107 MODENA CIR, UPPER MARLBORO, MD 20774-8790
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
21962
MD
Other
Enumeration date
09/12/2016
Last updated
09/12/2016
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