Individual
JOHAN PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
19707 EXECUTIVE PARK CIR, GERMANTOWN, MD 20874-2639
(301) 250-9965
Mailing address
19707 EXECUTIVE PARK CIR, GERMANTOWN, MD 20874-2639
(301) 250-9965
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
30168
MD
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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