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Organization

BEWILBERTLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. DANETTE LAWRENCE LICSW, LCSW-C (CLINICAL SOCIAL WORKER)
(617) 962-2484
Entity
Organization

Contact information

Practice address
1350 CONNECTICUT AVE NW STE 500, WASHINGTON, DC 20036-1736
(240) 391-7350
Mailing address
721 FARRAGUT PL NE, WASHINGTON, DC 20017-2364
(617) 962-2484

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
11/10/2020
Last updated
11/10/2020
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