Individual
IMANI MAHDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
9115 BLUES ALY APT D, LAUREL, MD 20723-1656
(914) 803-9026
Mailing address
9115 BLUES ALY APT D, LAUREL, MD 20723-1656
(914) 803-9026
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
25612
MD
1041C0700X
Clinical Social Worker
Primary
25612
MD
Other
Enumeration date
03/06/2020
Last updated
08/05/2024
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