Provider Information for 1386791648
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Mr. JEFFREY BECKER LCSW-C
Sex: Male
NPI: 1386791648
Last Updated: 2010-10-08
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1386791648 | ||||||||
| Enumeration Date | 2007-01-05 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1939 FLOWERING TREE TER SILVER SPRING, MD 20902-5802 United States Phone: 301-593-6632 | Fax:301-929-3305 | ||||||||
| Primary Practice Address | 11501 GEORGIA AVE STE 407 SILVER SPRING, MD 20902-1955 United States Phone: 240-281-4669 | Fax:240-314-1049 | ||||||||
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