Provider First Line Business Practice Location Address:
1700 17TH STREET, NW
Provider Second Line Business Practice Location Address:
SUITE 203 CENTRAL WASHINGTON PSYCHOTHERAPY ASSOCIATES
Provider Business Practice Location Address City Name:
WASHINGTON, DC
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20009-2419
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-496-9911
Provider Business Practice Location Address Fax Number:
202-250-7990
Provider Enumeration Date:
06/16/2009