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Individual

ENID L. MCKITRICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
8001 BOULDER RIDGE WAY, GAITHERSBURG, MD 20879-5636
(202) 429-9449
Mailing address
8001 BOULDER RIDGE WAY, GAITHERSBURG, MD 20879-5636
(202) 429-9449

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
08309
MD
1041C0700X
Clinical Social Worker
Primary
LC3000824
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0607
CAREFIRST
DC
01
0607
CAREFIRST
MD
Enumeration date
08/06/2007
Last updated
08/06/2007
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