Individual
AYOKA JACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6076 FRANCONIA RD STE D, ALEXANDRIA, VA 22310-1768
(855) 284-7483
(617) 807-0958
Mailing address
PO BOX 748465, ATLANTA, GA 30374-8465
(855) 284-7483
(617) 807-0958
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0906013920
VA
Other
Enumeration date
10/18/2023
Last updated
10/18/2023
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