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Individual

AZALECH N/A TEGENE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LGSW

Contact information

Practice address
64 NEW YORK AVE NE FL 3, WASHINGTON, DC 20002-3328
(202) 673-9120
Mailing address
1905 E ST SE # 14, WASHINGTON, DC 20003-2593
(202) 673-9120

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
104100000X
Social Worker
Primary
LG2000004706
DC

Other

Enumeration date
10/04/2023
Last updated
06/08/2026
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