Kristin Park MSW

NPI 1104034602 - Social Worker - 1041C0700X

NPI Details
NPI 1104034602
Gender Female
Enumeration Date 05/18/2007
Last Updated 01/20/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
8140 ASHTON AVE
STE 200
MANASSAS VA, 20109-5698, US
Phone (703) 859-1126
Fax
Business Location
25320 LAKE MIST SQ
UNIT 201
CHANTILLY VA, 20152-5353, US
Phone (703) 859-1126
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Virginia
License Number 0904008050
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According to our database, Ms. Kristin Park MSW NPI is 1104034602, taxonomy code is 1041C0700X and license number is 0904008050, license state is located at Virginia. Kristin Park MSW physically located at 8140 Ashton Ave, Manassas VA, 20109-5698. NPI Number Kristin Park MSW has the Individual type.

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1104034602 NPI number is provided on an as is basis without warranty of any kind. 1104034602 is maintained by the National Plan & Provider Enumeration System. The contents of Kristin Park MSW are for informational purposes only.