Individual
VAUGHN GALEN OMPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
2110 GALLOWS RD STE D, VIENNA, VA 22182-3962
(703) 592-4600
Mailing address
2386 ROLLING FORK CIR APT 406, HERNDON, VA 20171-5331
(757) 709-5643
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0906014070
VA
Other
Enumeration date
06/15/2023
Last updated
06/15/2023
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