Individual
MRS. STACEY CHARMAINE CHILDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 IRVING ST NW, WASHINGTON, DC 20422-0001
(202) 745-8000
Mailing address
221 WHITTIER ST NW, WASHINGTON, DC 20012-2162
(202) 745-8000
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
09/06/2006
Last updated
07/08/2007
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