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1679160063
SACRED SPACE, LLC
GAITHERSBURG, MD
NPI
1679160063
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Entity Type
Organization
Authorized Contact
ARIELLE MESA
Clinical Social Worker
202-265-1000
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2020-12-31
Last Update Date
2020-12-31
Business Address
SACRED SPACE, LLC
19310 SHERWOOD GREEN WAY
GAITHERSBURG, MD 20879
Phone number: 202-567-7726
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Mailing Address
SACRED SPACE, LLC
325 ELLINGTON BLVD # 171
GAITHERSBURG, MD 20878-4591
Phone number: 202-567-7726
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