POTOMAC GROVE PSYCHIATRY

GAITHERSBURG, MD
NPI1912111667
Entity TypeOrganization
Authorized ContactLOUIS E KOPOLOW
Owner
301-963-0060
Organization Subpart ?No
Primary Taxonomy103T00000X Psychologist
(Licence: MD  D0016788)
Enumeration Date2007-05-10
Last Update Date2010-07-08
Business Address
POTOMAC GROVE PSYCHIATRY
8915 SHADY GROVE CT
GAITHERSBURG, MD 20877-1308
Phone number: 301-963-0060
Mailing Address
POTOMAC GROVE PSYCHIATRY
8915 SHADY GROVE CT
GAITHERSBURG, MD 20877-1308
Phone number: 301-963-0060
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