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Individual

MS. VIRGIE NAOMI HARRIS BOVELLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW LICSW

Contact information

Practice address
1323 KALMIA RD NW, WASHINGTON, DC 20012-1444
(202) 347-7222
Mailing address
1323 KALMIA RD NW, WASHINGTON, DC 20012-1444
(202) 347-7222
(202) 829-8469

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC 00301509
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A382
BCBS
Enumeration date
02/01/2007
Last updated
12/09/2020
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