Individual
KEAN BAXTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
445 MELLON ST SE, WASHINGTON, DC 20032-2642
(202) 751-6444
Mailing address
445 MELLON ST SE, WASHINGTON, DC 20032-2642
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
18972
MD
1041C0700X
Clinical Social Worker
Primary
LC50080816
DC
Other
Enumeration date
04/18/2016
Last updated
07/05/2023
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