| In Good Hands Provider, Llc | |
|
12531 Clipper Dr Ste 202 Woodbridge VA 22192-2355 | |
| (202) 681-8320 | |
| Not Available |
| Full Name | In Good Hands Provider, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 12531 Clipper Dr Ste 202, Woodbridge, Virginia |
| Authorized Official Name and Position | Pamela Marshall (OWNER) |
| Authorized Official Contact | 7036242784 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| In Good Hands Provider, Llc 8229 Stationhouse Ct Lorton VA 22079-1208 Ph: (703) 624-2784 | In Good Hands Provider, Llc 12531 Clipper Dr Ste 202 Woodbridge VA 22192-2355 Ph: (202) 681-8320 |
| NPI Number | 1013574797 |
|---|---|
| Provider Enumeration Date | 05/28/2019 |
| Last Update Date | 05/28/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013574797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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