Individual
IBSATU KOROMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHP-C
Contact information
Practice address
13000 HARBOR CENTER DR STE 356, WOODBRIDGE, VA 22192-2846
(703) 831-7403
(703) 991-6005
Mailing address
13000 HARBOR CENTER DR STE 356, WOODBRIDGE, VA 22192-2846
(703) 831-7403
(703) 991-6005
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/22/2023
Last updated
06/22/2023
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