Provider Information for 1508337882
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SHAJI ZACHARIAH MSW, LICSW, LCSW-C
Other Names:Former Name:Mr. SHAJI ZACHARIAH MSW, LICSW, LCSW-CSex: Male
NPI: 1508337882
Last Updated: 2018-12-11
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1508337882 | ||||||||
| Enumeration Date | 2018-12-11 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 2739 SWEET CLOVER CT SILVER SPRING, MD 20904-1884 United States Phone: 202-657-7694 | Fax: | ||||||||
| Primary Practice Address | 770 M ST SE WASHINGTON, DC 20003-3609 United States Phone: 202-657-7694 | Fax: | ||||||||
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