Provider Information for 1104905454
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Ms. NAOMI CATHERINE KABASELA LCPC, MA
Sex: Female
NPI: 1104905454
Last Updated: 2007-07-09
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1104905454 | ||||||||
| Enumeration Date | 2006-11-06 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 6 ALMANAC CT BURTONSVILLE, MD 20866-1945 United States Phone: 301-838-4104 | Fax:301-315-8331 | ||||||||
| Primary Practice Address | 751 TWINBROOK PKWY 1ST. FLOOR ROCKVILLE, MD 20851-1400 United States Phone: 301-838-4104 | Fax:301-315-8331 | ||||||||
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