MEDICARE: CHRISTINE LORRAINE PIERRE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	07090	MD

General Provider Information

NPI Number	:	1528556941
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE LORRAINE PIERRE

Provider Business Mailing Address
First Line	:	11201 HICKORY GROVE CT
Second Line	:
City	:	LAUREL
State	:	MD
Zip	:	20708-3538
Country	:	US
Telephone Number	:	301-922-7571
Fax Number	:

Provider Business Practice Location Address
First Line	:	11201 HICKORY GROVE CT
Second Line	:
City	:	LAUREL
State	:	MD
Zip	:	20708-3538
Country	:	US
Telephone Number	:	301-922-7571
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/01/2018
Last Update Date	:	05/01/2018

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Directions to “ CHRISTINE LORRAINE PIERRE ” Practice Location

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