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Individual

MS. CONSTANCE RIDGWAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
205 S WHITING ST STE 605, ALEXANDRIA, VA 22304-7121
(202) 966-8230
(202) 966-8230
Mailing address
205 S WHITING ST STE 605, ALEXANDRIA, VA 22304-7121
(202) 966-8230
(202) 966-8230

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904003134
VA
1041C0700X
Clinical Social Worker
LC302735
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
120224
VALUE OPTIONS PROVIDER #
VA
01
1764
CAREFIRST BC/BS #
DC
Enumeration date
02/15/2006
Last updated
07/08/2007
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