Organization
ELAINE P. BOOMER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELAINE P BOOMER LCSW (PRESIDENT)
(703) 255-2208
Entity
Organization
Contact information
Practice address
501 CHURCH ST NE, SUITE 206, VIENNA, VA 22180-4734
(703) 255-2208
(703) 255-2482
Mailing address
501 CHURCH ST NE, SUITE 206, VIENNA, VA 22180-4734
(703) 255-2208
(703) 255-2482
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904003838
VA
Other
Enumeration date
06/16/2010
Last updated
06/16/2010
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