Individual
SHALISHA AVA VANDERHORST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
50 IRVING ST NW, WASHINGTON, DC 20422-0001
(202) 745-8000
Mailing address
1100 SNIDER LN, SILVER SPRING, MD 20905-4160
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC50080936
DC
Other
Enumeration date
02/22/2019
Last updated
02/22/2019
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