Individual
MR. ROBERT STREETE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1007 LARCH AVE, TAKOMA PARK, MD 20912-6520
(240) 450-2092
Mailing address
1007 LARCH AVE, TAKOMA PARK, MD 20912-6520
(240) 450-2092
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171W00000X
Contractor
Primary
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
03/12/2022
Last updated
03/12/2022
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