Individual
KAREN M DE MIJANGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6300 STEVENSON AVE, ALEXANDRIA, VA 22304-3576
(703) 935-0058
Mailing address
7511 ABBINGTON DR, OXON HILL, MD 20745-1511
(703) 477-1041
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904010293
VA
Other
Enumeration date
01/31/2024
Last updated
01/31/2024
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