SearchDistrict of Columbia104100000X

Kevin Stafford, LICSW

NPI 1598209132 · on the registry since 2016 · sole proprietor

Practice

Address
2415 Randolph St Ne
Washington, DC 20018
Phone
(202) 813-5661

Registry record

Primary taxonomy
104100000X
104100000X
Also registered as
1041S0200X
Licence states on file
DC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-06-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in District of Columbia