Individual
INGRID MADISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
5104 YAWL CT, WOODBRIDGE, VA 22193-4983
(703) 732-6149
Mailing address
5104 YAWL CT, WOODBRIDGE, VA 22193-4983
(703) 732-6149
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LG50082488
DC
Other
Enumeration date
10/20/2022
Last updated
10/20/2022
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