| Provider / Organization | NPI | Date Certified |
|---|---|---|
| CAROL KURTZ | 1225626724 | 2021-01-10 |
| Entity Type | Individual |
| Provider Name | Carol Kurtz M.A. |
| Practice Office Address | 9700 LAWNDALE DR SILVER SPRING, MD US |
| Practice Office Telephone | 3016723649 |
| Mailing Address | 9700 LAWNDALE DR SILVER SPRING, MD 209013024 US |
| Business Telephone | 3016723649 |
| Code | License No | State |
|---|---|---|
| 103TC0700X PRIMARY | A0113 | MD |