Organization
LEPHOENIX HEALTH SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAVERNE V. DANFORTH L.I.C.S.W. (SOCIAL WORKER)
(202) 466-1640
Entity
Organization
Contact information
Practice address
650 PENNSYLVANIA AVE SE, SUITE 480, WASHINGTON, DC 20003-4318
(202) 466-1640
Mailing address
PO BOX 1749, WASHINGTON, DC 20013-1749
(202) 466-1640
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC302687
DC
Other
Enumeration date
09/04/2008
Last updated
09/04/2008
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