Provider Demographics
NPI:1083835524
Name:MAHLMANN, JOHN JAMES (PHD, LCSW-C)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:JAMES
Last Name:MAHLMANN
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Gender:M
Credentials:PHD, LCSW-C
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Mailing Address - Street 1:414 HUNGERFORD DR STE 240
Mailing Address - Street 2:SUITE 240
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-4172
Mailing Address - Country:US
Mailing Address - Phone:301-452-2486
Mailing Address - Fax:301-340-2060
Practice Address - Street 1:414 HUNGERFORD DR
Practice Address - Street 2:SUITE 240
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-4125
Practice Address - Country:US
Practice Address - Phone:301-452-2486
Practice Address - Fax:301-340-2060
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MD071571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical