Individual
GINNY HEREDIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW, LCSW-C
Contact information
Practice address
700 24TH ST, FORT LEE, VA 23801-1716
(804) 734-9037
Mailing address
700 24TH ST, FORT LEE, VA 23801-1716
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13393
MD
Other
Enumeration date
06/16/2008
Last updated
06/05/2023
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