Individual
RUSSELL DILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1554 COLUMBIA PIKE, ARLINGTON, VA 22204-4667
(703) 228-0045
Mailing address
5053 12TH ST NE, WASHINGTON, DC 20017-2851
(202) 247-7583
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LG50078875
DC
Other
Enumeration date
12/23/2019
Last updated
12/23/2019
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