Individual
SONIA MIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, MAT
Contact information
Practice address
9134 RUBY LOCKHART BLVD, GLENARDEN, MD 20706-2663
(202) 643-5384
Mailing address
201 N UNION ST., ST 110, ALEXANDRIA, VA 22314
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
06561
MD
103TC0700X
Clinical Psychologist
Primary
0810007492
VA
Other
Enumeration date
09/19/2014
Last updated
05/06/2022
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