Andre Serge Libock
Andre Serge Libock is a Community/Behavioral Health Agency in Greenbelt, Maryland. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2023.
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
8309 Miner StGreenbelt, MD 20770-4404
Phone: (734) 322-7744
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 8309 Miner St, Greenbelt, MD 20770-4404 — (734) 322-7744
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|---|
| Community/Behavioral Health Agency | Taxonomy 251S00000X |
Record details
| NPI number | 1699464180 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 2, 2023 |
| Last updated in NPPES | July 21, 2023 |
| Certification date | July 21, 2023 |
| Mailing address | 8309 Miner St, Greenbelt, MD 20770-4404 |
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