Organization
BERNARD M. RAICHE EDD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BERNARD M RAICHE EDD, LCSW-C (OWNER/LCSW-C)
(301) 404-4544
Entity
Organization
Contact information
Practice address
3430 N HIGH ST, OLNEY, MD 20832-2202
(301) 404-4544
(301) 570-4587
Mailing address
3313 MEGANS WAY, OLNEY, MD 20832-2527
(301) 404-4544
(301) 570-4587
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
08957
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
060000802
—
MD
Enumeration date
02/23/2009
Last updated
10/16/2012
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