Individual
BROOKS PENDERGAST FRANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1018 MONROE ST NE, WASHINGTON, DC 20017-1760
(202) 489-5740
Mailing address
6303 45TH PL, RIVERDALE, MD 20737-1010
(203) 383-9424
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC200001527
DC
Other
Enumeration date
11/30/2021
Last updated
11/30/2021
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