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Individual

SARA SO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9905 MEDICAL CENTER DR STE 350, ROCKVILLE, MD 20850-6533
(301) 750-3401
Mailing address
808 E JEFFERSON ST, ROCKVILLE, MD 20852-1107

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LC12375
MD

Other

Enumeration date
08/20/2025
Last updated
08/20/2025
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