Individual
JINNY PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
112 BIRCH ST APT C4, FALLS CHURCH, VA 22046-2104
(206) 954-6102
Mailing address
112 BIRCH ST APT C4, FALLS CHURCH, VA 22046-2104
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/22/2019
Last updated
11/15/2022
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