Individual
MRS. IVY TILLMAN LOMAX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
12890 HARBOR DRIVE, WOODBRIDGE, VA 22192
(571) 316-1059
Mailing address
5559 SHERRY CT, WOODBRIDGE, VA 22193
(571) 316-1059
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904008045
VA
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
07/02/2019
Last updated
06/02/2025
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