Organization
KREATING INTENTIONAL MINDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIA OLIVER LICSW (OWNER)
(240) 639-2475
Entity
Organization
Contact information
Practice address
6218 GEORGIA AVE NW STE 1615, WASHINGTON, DC 20011-5125
(240) 639-2475
Mailing address
6218 GEORGIA AVE NW STE 1615, WASHINGTON, DC 20011-5125
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/18/2023
Last updated
05/18/2023
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