Individual
MRS. SEVENA PARKS BOUGHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
50 IRVING ST NW, WASHINGTON, DC 20422-0001
(202) 745-8337
(202) 745-8629
Mailing address
6208 TREYWOOD LN, MANASSAS, VA 20112-5907
(703) 794-9594
(202) 745-8629
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
08819
MD
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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