THEODORE MICHENER

LANDOVER, MD
NPI1144886011
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: MD  19774)
Enumeration Date2019-05-15
Last Update Date2021-07-07
Business Address
THEODORE MICHENER LCSW-C
903 BRIGHTSEAT RD
LANDOVER, MD 20785-4725
Phone number: 301-333-2980
Mailing Address
THEODORE MICHENER LCSW-C
15518 N NEMO CT
BOWIE, MD 20716-1460
Phone number: 443-370-9626
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