Individual
MADDIE BURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
620 E DIAMOND AVE, GAITHERSBURG, MD 20877-5320
(240) 672-7286
Mailing address
620 E DIAMOND AVE, GAITHERSBURG, MD 20877-5320
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/20/2021
Last updated
10/20/2021
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