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Individual

MS. VIRGINIA YVONNE KELLOGG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
525 EASTERN AVENUE, SUITE B-3, CAPITOL HEIGHTS, MD 20743-1677
(301) 925-2255
(301) 925-2020
Mailing address
525 EASTERN AVENUE, SUITE B-3, CAPITOL HEIGHTS, MD 20743-1677
(301) 925-2255
(301) 925-2020

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
03539
MD
1041C0700X
Clinical Social Worker
03539
MD

Other

Enumeration date
10/31/2018
Last updated
10/31/2018
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