Individual
MR. HIRSCH M ISEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSWC
Contact information
Practice address
12120 PLUM ORCHARD DR, SILVER SPRING, MD 20904-7820
(301) 572-6585
(301) 572-5062
Mailing address
12120 PLUM ORCHARD DR, SILVER SPRING, MD 20904-7820
(301) 572-6585
(301) 572-5062
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
17121
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17121
MD. STATE BOARD OF SOCIAL WORK EXAMINERS
MD
Enumeration date
10/17/2011
Last updated
10/17/2011
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