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Organization

G AND T COLLABORATIVE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. TAMMY LOUISE WHITE-SMILEY LSWA (CO-OWNER)
(202) 271-1091
Entity
Organization

Contact information

Practice address
312 PEABODY ST NW, WASHINGTON, DC 20011-2119
(202) 271-1091
Mailing address
312 PEABODY ST NW, WASHINGTON, DC 20011-2119
(202) 271-1091

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
11/14/2011
Last updated
11/14/2011
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