Individual
KRISTIAN OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
9500 ARENA DR, SUITE 460-C, LARGO, MD 20774-3755
(301) 861-4632
Mailing address
9500 ARENA DR STE 460C, LARGO, MD 20774-3755
(301) 861-4632
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
16719
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
087227000
—
MD
Enumeration date
02/15/2011
Last updated
09/01/2016
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