Individual
CHARLES MOUNTAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
900 23RD ST NW, WASHINGTON, DC 20037-2342
(202) 715-4822
Mailing address
9520 CROSBY RD, SILVER SPRING, MD 20910-1541
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC50081404
DC
Other
Enumeration date
09/18/2017
Last updated
09/18/2017
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