Provider Demographics
NPI:1558452318
Name:VOURLEKIS, DAPHNE HERO (LCSW-C)
Entity Type:Individual
Prefix:MS
First Name:DAPHNE
Middle Name:HERO
Last Name:VOURLEKIS
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:5440 MARINELLI RD
Mailing Address - Street 2:APT 224
Mailing Address - City:N BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20852-2500
Mailing Address - Country:US
Mailing Address - Phone:202-782-7699
Mailing Address - Fax:202-782-4554
Practice Address - Street 1:6900 GEORGIA AVE NW
Practice Address - Street 2:WARD 54
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20307-0003
Practice Address - Country:US
Practice Address - Phone:202-782-7699
Practice Address - Fax:202-782-4554
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MD075861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical