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Individual

IVAN MARIN-SOLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
9604 SUTHERLAND ROAD, SILVER SPRING, MD 20901
(202) 631-0422
Mailing address
9604 SUTHERLAND RD, SILVER SPRING, MD 20901-3262
(202) 631-0422

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY1000772
DC

Other

Enumeration date
12/30/2015
Last updated
12/30/2015
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