Individual
IDA DAMKILDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9300 DEWITT LOOP, FORT BELVOIR, VA 22060-5285
(571) 231-1803
Mailing address
3025 HAMAKER CT STE 450, FAIRFAX, VA 22031-2237
(703) 204-9100
(301) 468-1862
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0904013564
VA
Other
Enumeration date
03/14/2019
Last updated
08/29/2024
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