Individual
MRS. ADELE REDISCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
16220 S FREDERICK AVE, SUITE 512, GAITHERSBURG, MD 20877-4039
(301) 279-0546
Mailing address
9420 COPENHAVER DR, POTOMAC, MD 20854-3024
(301) 279-0546
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
04751
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
155567000
MAGELLAN
—
01
—
191537
MHN
MD
01
—
5685
CARE FIRST
MD
Enumeration date
12/20/2006
Last updated
07/08/2007
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