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Mistaken Identity Corporation

NPI #1528412590 in Largo, Maryland

Provider Information

NPI Number
1528412590
Entity Type
Organization
Organization Name
Mistaken Identity Corporation
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
Apr 15, 2016
Last Updated
Apr 15, 2016

Practice Location

Address
9701 APOLLO DR
Address 2
SUITE 301
City
Largo
State
Maryland
ZIP Code
20774-4783
Phone
(301) 298-5543

Authorized Official

Name
MRS. SHERI GREEN
Title
FOUNDER & CHAIR
Phone
(301) 298-5543

Specialties & Taxonomy Codes

Specialty
Social Worker
Case Manager/Care Coordinator

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