Individual
MR. TERRENCE LEE ONDERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1318 MASSACHUSETTS AVE SE, WASHINGTON, DC 20003-1539
(202) 546-0140
Mailing address
1318 MASSACHUSETTS AVE SE, WASHINGTON, DC 20003-1539
(202) 546-0140
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
0904002583
VA
Other
Enumeration date
11/29/2010
Last updated
11/29/2010
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