Individual
IHSAN J WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
5290 SHAWNEE RD STE 103, ALEXANDRIA, VA 22312-2381
(202) 930-2770
Mailing address
440 MONTICELLO AVE, SUITE 1802 638348, NORFOLK, VA 23510
(202) 930-2770
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904007498
VA
Other
Enumeration date
11/05/2010
Last updated
03/04/2024
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