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Individual

EMANUEL DE JESUS SALAZAR-LIZARDO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LGSW

Contact information

Practice address
4301 13TH ST NW, WASHINGTON, DC 20011-5629
(202) 576-6130
Mailing address
2437 15TH ST NW, WASHINGTON, DC 20009-4101
(202) 765-3757

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
50082615
DC

Other

Enumeration date
03/21/2019
Last updated
03/21/2019
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