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Individual

JULIA BAUMGARDNER CHUNG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW, LICSW

Contact information

Practice address
3800 RESERVOIR RD NW, WASHINGTON, DC 20007-2113
(202) 444-2058
Mailing address
9629 PERCUSSION WAY, VIENNA, VA 22182-3335
(540) 522-8924

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904010103
VA
1041C0700X
Clinical Social Worker
LC50079714
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0904010103
LICENSED CLINICAL SOCIAL WORKER
VA
01
LC50079714
IND CLINICAL SOCIAL WORKER
DC
Enumeration date
12/26/2018
Last updated
12/26/2018
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