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Individual

CAROLINE JO JALBERT-QUEZADA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
801 PENNSYLVANIA AVE SE, SUITE 201, WASHINGTON, DC 20003-2167
(202) 608-4782
(202) 544-5365
Mailing address
801 PENNSYLVANIA AVE SE, SUITE 201, WASHINGTON, DC 20003-2167
(202) 608-4782
(202) 544-5365

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC50077813
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
22757
MEDICAID MCO
DC
01
281878
MEDICAID MCO
DC
01
5071
MEDICAID MCO
DC
Enumeration date
01/23/2007
Last updated
07/08/2007
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