Individual
FADZAYI WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
WASHINGTON DC VA MEDICAL CENTER 50 IRVING STREET NW, WASHINGTON, DC 20422-0001
(202) 745-8000
Mailing address
14107 ABERDEENS FOLLY CT, BOWIE, MD 20720-5805
(541) 908-2258
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904011436
VA
Other
Enumeration date
06/20/2020
Last updated
06/20/2020
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