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Organization

SOCIAL SOCIETY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEREMY JOHNSON CTRS (RECREATION THERAPIST)
(202) 272-2395
Entity
Organization

Contact information

Practice address
3414 CURTIS DR, SUITLAND, MD 20746-4935
(202) 271-2395
Mailing address
3414 CURTIS DR, SUITLAND, MD 20746-4935

Taxonomy

Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary

Other

Enumeration date
09/13/2018
Last updated
09/13/2018
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