Theodore Michener, LCSW-C

NPI #1144886011 in Landover, Maryland

Provider Information

NPI Number: 1144886011
Entity Type: Individual
Name: Theodore Michener, LCSW-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW-C
Enumeration Date: May 15, 2019
Last Updated: Jul 7, 2021

Practice Location

Address: 903 BRIGHTSEAT RD
City: Landover
State: Maryland
ZIP Code: 20785-4725
Phone: (301) 333-2980

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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