Individual
THERESA M MINNI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2821 29TH PL NW, WASHINGTON, DC 20008-3501
(202) 667-7429
Mailing address
2821 29TH PL NW, WASHINGTON, DC 20008-3501
(202) 667-7429
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
19115
MD
1041C0700X
Clinical Social Worker
Primary
LC50080712
DC
Other
Enumeration date
08/05/2013
Last updated
12/01/2015
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