Individual
HENRY MCKINNON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
3030 P ST NW, WASHINGTON, DC 20007-3052
(202) 607-4265
Mailing address
3030 P ST NW, WASHINGTON, DC 20007-3052
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC50079140
DC
Other
Enumeration date
05/08/2019
Last updated
05/08/2019
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