# GOOD GROUNDS HEALTH CO

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548017551
- **Authorized official:** SHARQUITA DUDLEY NP (OWNER)
- **Authorized official phone:** (703) 662-3659

## Contact information

- **Practice address:** 12721 DARBY BROOK CT, WOODBRIDGE, VA 22192-2408
- **Practice address phone:** (703) 662-3659
- **Mailing address:** 9480 MAIN ST \# 1005, FAIRFAX, VA 22031-4032
- **Mailing address phone:** (703) 662-3659

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 05/06/2024
- **Last updated:** 05/06/2024