Evolution Therapeutic Services
Evolution Therapeutic Services provides Social Worker services in Brandywine, Maryland. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
15401 Wylie RdBrandywine, MD 20613-6216
Phone: (202) 374-0609
Fax: (301) 808-6562
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Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X |
|---|
Record details
| NPI number | 1457085904 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Stacey Ferguson — Manager · (240) 899-3473 |
| NPI enumerated | July 11, 2022 |
| Last updated in NPPES | July 11, 2022 |
| Certification date | July 11, 2022 |
| Mailing address | 15401 Wylie Rd, Brandywine, MD 20613-6216 |
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MS. Stefanie Colisa Lea, LMSW
15401 Wylie Rd, Brandywine, MD 20613-6216 · (202) 374-0609
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