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Contact Information

GLENDA M AUGUSTINE
15204 OMEGA DR STE 100
ROCKVILLE, MD20850-4812
 Phone: 301-279-6750
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for GLENDA M AUGUSTINE · (Female)

NPI Number 1164389003
Status Active
Credentials
Entity Individual
Enumeration date 01/05/2026
Last updated 01/05/2026 - About 5 months ago
Sole proprietor 1 No
Identifiers
  • MD License # 33989
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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