Individual
GELILA SAMUEL HABTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8221 WILLOW OAKS CORPORATE DR, FAIRFAX, VA 22031-4512
(240) 620-8453
Mailing address
18828 BROKEN OAK RD, BOYDS, MD 20841-4222
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/27/2018
Last updated
11/27/2018
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