Expressive Therapy Center, Llc

NPI 1013158310 - Social Worker - 1041C0700X

NPI Details
NPI 1013158310
Enumeration Date 03/16/2009
Last Updated 03/16/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name IVAN MICHAEL IVAN
Position EXECUTIVE DIRECTOR
Phone (301) 838-4112
Fax (301) 838-0623
Practice Location
14808 PHYSICIANS LN STE 111
ROCKVILLE MD, 20850-3907, US
Phone (301) 838-4112
Fax (301) 838-0623
Business Location
13153 BRUSHWOOD WAY
POTOMAC MD, 20854-1025, US
Phone (301) 838-4112
Fax (301) 838-0623
Toxanomy
Taxonomy Code 1041C0700X
License State Maryland
License Number 11057
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According to our database, Expressive Therapy Center, Llc NPI is 1013158310, taxonomy code is 1041C0700X and license number is 11057, license state is located at Maryland. Expressive Therapy Center, Llc physically located at 14808 Physicians Ln Ste 111, Rockville MD, 20850-3907. NPI Number 1033115704 has the healthcare provider type.

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1013158310 NPI number is provided on an as is basis without warranty of any kind. 1013158310 is maintained by the National Plan & Provider Enumeration System. The contents of Expressive Therapy Center, Llc are for informational purposes only.