Individual
DOMONIQUIE GINYARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23254 JOHNSTOWN LN, RUTHER GLEN, VA 22546-3476
(202) 221-0610
Mailing address
23254 JOHNSTOWN LN, RUTHER GLEN, VA 22546-3476
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0906013639
VA
1041C0700X
Clinical Social Worker
TPSW4168
FL
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/11/2023
Last updated
01/22/2026
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