Individual
MAIA WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 DOUGLASS RD SE, WASHINGTON DC, DC 20020
(202) 701-1859
Mailing address
5708 TIMBER CREEK TER APT 303, HYATTSVILLE, MD 20782-2505
(202) 766-2068
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
08/16/2017
Last updated
08/16/2017
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