| Mirta Elvire Innis-thompson | |
|
11140 Rockville Pike Ste 480-i North Bethesda MD 20852-3106 | |
| (619) 869-0771 | |
| Not Available |
| Full Name | Mirta Elvire Innis-thompson |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 11140 Rockville Pike Ste 480-i, North Bethesda, Maryland |
| Authorized Official Name and Position | Mirta Innis-thompson (OWNER) |
| Authorized Official Contact | 6198690771 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mirta Elvire Innis-thompson 11140 Rockville Pike Ste 480-i North Bethesda MD 20852-3106 Ph: (619) 869-0771 | Mirta Elvire Innis-thompson 11140 Rockville Pike Ste 480-i North Bethesda MD 20852-3106 Ph: (619) 869-0771 |
| NPI Number | 1992401376 |
|---|---|
| Provider Enumeration Date | 02/06/2023 |
| Last Update Date | 02/06/2023 |
| Certification Date | 02/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992401376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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