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Organization

BARRY LEVY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BARRY A LEVY LCSW-C (OWNER/CLINICIAN)
(301) 315-9009
Entity
Organization

Contact information

Practice address
20911 MIRACLE DR, GAITHERSBURG, MD 20882-4451
(301) 315-9009
Mailing address
20911 MIRACLE DR, GAITHERSBURG, MD 20882-4451
(301) 315-9009

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1407925514
NPI
Enumeration date
04/02/2025
Last updated
04/02/2025
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