Organization
WOODLEY PARK CLINICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AISHA MARIE MARTIN LICSW, LCSW-C (CLINICAL DIRECTOR/THERAPIST)
(240) 481-1892
Entity
Organization
Contact information
Practice address
3000 CONNECTICUT AVE NW STE 410, WASHINGTON, DC 20008-2552
(240) 481-1892
Mailing address
2403 JUMPER LN, UPPER MARLBORO, MD 20774-9037
(240) 481-1892
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/01/2019
Last updated
04/01/2019
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