| Ezra, Nehemiah And Solomon, Inc. | |
|
3904 Lansing Ct Dumfries VA 22026-2460 | |
| (703) 221-6600 | |
| (703) 221-4466 |
| Full Name | Ezra, Nehemiah And Solomon, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3904 Lansing Ct, Dumfries, Virginia |
| Authorized Official Name and Position | Fay Marshall Lesane (CLINICAL DIRECTOR) |
| Authorized Official Contact | 7032216600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ezra, Nehemiah And Solomon, Inc. Po Box 1134 Dumfries VA 22026-9134 Ph: (703) 221-6600 | Ezra, Nehemiah And Solomon, Inc. 3904 Lansing Ct Dumfries VA 22026-2460 Ph: (703) 221-6600 |
| NPI Number | 1881995611 |
|---|---|
| Provider Enumeration Date | 11/10/2010 |
| Last Update Date | 11/10/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881995611 | NPI | - | NPPES |
| 008939152 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904003313 (Virginia) | Primary |
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