Carlos, Octavia M
Carlos, Octavia M is an sole proprietor health care provider with primary practice located at 1300 Mercantile Ln Suite 139A1, Largo MD 20774-5327. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Carlos, Octavia M can be contacted via phone (301) 322-3016.Contact Information
Primary practice address
1300 Mercantile Ln Suite 139A1
Largo MD 20774-5327
Phone: (301) 322-3016
Fax: (301) 925-1839
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 05995 | Maryland |
Profile Details
| NPI number | 1518066125 |
|---|---|
| LBN Legal business name | Carlos, Octavia M |
| Credentials | LCSW-C |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 21st, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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