Individual
MS. JINA ELAINE PROCTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
601 MISSISSIPPI AVE SE, WASHINGTON, DC 20032-3862
(202) 671-6426
Mailing address
4578 SCOTTSDALE PL, WALDORF, MD 20602-4171
(301) 404-9877
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
LC303511
DC
Other
Enumeration date
10/04/2013
Last updated
10/04/2013
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