Wunderlich, Domino

Wunderlich, Domino is an individual health care provider with primary practice located at 610 E Diamond Ave Suite 100, Gaithersburg MD 20877-5321. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Wunderlich, Domino can be contacted via phone (301) 840-3200.

Contact Information

Primary practice address
610 E Diamond Ave Suite 100 Gaithersburg MD 20877-5321
Phone: (301) 840-3200
Fax: (301) 840-1348
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 20905 Maryland

Profile Details

NPI number 1265800734
LBN Legal business name Wunderlich, Domino
Credentials LGSW
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2015
Last updated Sep 14th, 2015 - about 11 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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