Individual
GISELE WASSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2811 PENNSYLVANIA AVE SE, WASHINGTON, DC 20020-3865
(202) 560-5136
Mailing address
9019 MARCELLA AVE, RANDALLSTOWN, MD 21133-3911
(443) 587-8154
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
07/10/2023
Last updated
07/24/2023
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