Individual
JI-HAE PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
6245 LEESBURG PIKE, 4TH FLOOR - OUTREACH, FALLS CHURCH, VA 22044-2106
(703) 531-6283
Mailing address
2801 PARK CENTER DR, APT. #A909, ALEXANDRIA, VA 22302-1431
(703) 379-1890
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0903001428
VA
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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