Individual
BROOKE JANET BEANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW, LCSW-C
Contact information
Practice address
9701 APOLLO DR STE 100, LARGO, MD 20774-4785
(301) 412-4343
Mailing address
12138 CENTRAL AVE # 673, MITCHELLVILLE, MD 20721-1910
(301) 412-4343
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
19589
MD
1041C0700X
Clinical Social Worker
Primary
LC50079502
DC
Other
Enumeration date
04/27/2020
Last updated
07/20/2020
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