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Organization

VIRGINIA LAYNE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. NORIKA JACKSON LICSW (OWNER)
(301) 537-3660
Entity
Organization

Contact information

Practice address
1629 K ST NW STE 300, WASHINGTON, DC 20006-1631
(202) 835-0680
Mailing address
10903 EXETER CT, UPPER MARLBORO, MD 20774-1418
(301) 537-3660

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
07/03/2019
Last updated
07/03/2019
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