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General NPI Number Information
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NPI Number | 1992030985
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Entity Type | Organization
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Legal Business Name | CREATIVE WAYS THERAPY LLC
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Dates
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Enumeration Date | 10/08/2009
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 7412 GEORGIA AVE NW STE 4
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City | WASHINGTON
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State | DC
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Zip | 20012-1754
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Country | US
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Telephone | 202-285-1690
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Fax |
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Provider Business Mailing Address
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Address Line | 7412 GEORGIA AVE NW STE 4
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City | WASHINGTON
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State | DC
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Zip | 20012-1754
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Country | US
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Telephone | 202-285-1690
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | CRISTINA GUADALUPE ANDRADE CRUZ
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Credential |
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Telephone | 240-426-1076
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LC302804
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License Number State | DC
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