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Individual

MS. SUSAN NIGHTINGALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1012 14TH ST NW, SUITE 1000, WASHINGTON, DC 20005-3406
(202) 654-0873
(202) 654-0868
Mailing address
1012 14TH ST NW, SUITE 1000, WASHINGTON, DC 20005-3406
(202) 654-0873
(202) 654-0868

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904005750
VA
1041C0700X
Clinical Social Worker
Primary
LC50078469
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010062144
DC
05
010062144
VA
Enumeration date
09/28/2006
Last updated
01/08/2015
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