Individual
KELLY BALLESTEROS BUITRAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4242 E WEST HWY APT 708, CHEVY CHASE, MD 20815-5951
(239) 778-5677
Mailing address
4242 E WEST HWY APT 708, CHEVY CHASE, MD 20815-5951
(239) 778-5677
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW31051
MD
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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