| Bonnie L. Damron, Phd, Msw, Pc | |
|
600 Roosevelt Blvd G-2 Falls Church VA 22044-3144 | |
| (703) 538-4289 | |
| Not Available |
| Full Name | Bonnie L. Damron, Phd, Msw, Pc |
|---|---|
| Speciality | Social Worker |
| Location | 600 Roosevelt Blvd, Falls Church, Virginia |
| Authorized Official Name and Position | Bonnie L Damron (PRESIDENT/OWNER) |
| Authorized Official Contact | 7035384289 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bonnie L. Damron, Phd, Msw, Pc 600 Roosevelt Blvd G-2 Falls Church VA 22044-3144 Ph: (703) 538-4289 | Bonnie L. Damron, Phd, Msw, Pc 600 Roosevelt Blvd G-2 Falls Church VA 22044-3144 Ph: (703) 538-4289 |
| NPI Number | 1891097408 |
|---|---|
| Provider Enumeration Date | 12/02/2010 |
| Last Update Date | 12/02/2010 |
| Medicare PECOS PAC ID | 8527219393 |
|---|---|
| Medicare Enrollment ID | O20121105000405 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891097408 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Bonnie Lucille Damron |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386707024 PECOS PAC ID: 0749203784 Enrollment ID: I20060105000399 |
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