Organization
GINKGO CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN PHAM MSW, LCSW (SOCIAL WORKER)
(301) 960-8430
Entity
Organization
Contact information
Practice address
13777 MUSKET CT, WOODBRIDGE, VA 22193-4425
(703) 409-9796
Mailing address
13777 MUSKET CT, WOODBRIDGE, VA 22193-4425
(703) 409-9796
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/12/2024
Last updated
03/12/2024
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