Individual
MRS. GERALDINE B POGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6020 RICHMOND HWY STE 200, ALEXANDRIA, VA 22303-2157
(703) 960-7261
(703) 780-3230
Mailing address
4721 TARPON LN, ALEXANDRIA, VA 22309-3142
(703) 780-8737
(703) 780-3230
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8906912
—
VA
Enumeration date
09/20/2006
Last updated
07/26/2007
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