Individual
MS. HEIDI DIKE KINGSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
20742 SPICEBERRY CT, ASHBURN, VA 20147-4484
(719) 629-8046
Mailing address
20742 SPICEBERRY CT, ASHBURN, VA 20147-4484
(719) 629-8046
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904010541
VA
Other
Enumeration date
08/09/2010
Last updated
07/20/2023
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