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1144886011
THEODORE MICHENER
LANDOVER, MD
NPI
1144886011
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MD 19774)
Enumeration Date
2019-05-15
Last Update Date
2021-07-07
Business Address
THEODORE MICHENER LCSW-C
903 BRIGHTSEAT RD
LANDOVER, MD 20785-4725
Phone number: 301-333-2980
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Mailing Address
THEODORE MICHENER LCSW-C
15518 N NEMO CT
BOWIE, MD 20716-1460
Phone number: 443-370-9626
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