Provider Demographics
NPI:1154441178
Name:GUEDENET, MARIE FRANCOISE (MSW)
Entity Type:Individual
Prefix:
First Name:MARIE
Middle Name:FRANCOISE
Last Name:GUEDENET
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 WYAND DR
Mailing Address - Street 2:
Mailing Address - City:KEEDYSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21756-1201
Mailing Address - Country:US
Mailing Address - Phone:301-797-9226
Mailing Address - Fax:301-797-5298
Practice Address - Street 1:21 WYAND DR
Practice Address - Street 2:
Practice Address - City:KEEDYSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21756-1201
Practice Address - Country:US
Practice Address - Phone:301-797-9226
Practice Address - Fax:301-797-5298
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-31
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD078641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDQC14MFMedicare UPIN
MD0005402514Medicare UPIN
MD445680PPOMedicare UPIN
MD301QMedicare ID - Type Unspecified