Samuel Warren Whittaker

NPI #1205536018 in Accokeek, Maryland

Provider Information

NPI Number: 1205536018
Entity Type: Individual
Name: Samuel Warren Whittaker
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Mar 9, 2023
Last Updated: Aug 21, 2023

Practice Location

Address: 104 BRIGHTON KNOLL CT
City: Accokeek
State: Maryland
ZIP Code: 20607-2718
Phone: (202) 997-4631

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X
Case Manager/Care Coordinator	171M00000X	Primary

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