| Inova Health Systems | |
|
11204 Waples Mill Rd Fairfax VA 22030-6048 | |
| (703) 218-8500 | |
| (703) 359-0463 |
| Full Name | Inova Health Systems |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 11204 Waples Mill Rd, Fairfax, Virginia |
| Authorized Official Name and Position | Regina Marie Mcguire-robb (THERAPIST) |
| Authorized Official Contact | 7032188563 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Inova Health Systems Po Box 1110 Fairfax VA 22038-2522 Ph: (703) 218-8500 | Inova Health Systems 11204 Waples Mill Rd Fairfax VA 22030-6048 Ph: (703) 218-8500 |
| NPI Number | 1295815918 |
|---|---|
| Provider Enumeration Date | 10/17/2006 |
| Last Update Date | 11/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295815918 | NPI | - | NPPES |
| 295462302 | Other | VA | INDIVIDUAL PRIACTICE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904003809 (Virginia) | Primary |
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