| Nurture Child And Family, Pllc | |
|
1319 Vincent Pl Mc Lean VA 22101-3615 | |
| (703) 341-5995 | |
| (703) 341-5995 |
| Full Name | Nurture Child And Family, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1319 Vincent Pl, Mc Lean, Virginia |
| Authorized Official Name and Position | Mark Steven Gardner (MEMBER) |
| Authorized Official Contact | 7033415995 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nurture Child And Family, Pllc 1319 Vincent Pl Mc Lean VA 22101-3615 Ph: (703) 341-5995 | Nurture Child And Family, Pllc 1319 Vincent Pl Mc Lean VA 22101-3615 Ph: (703) 341-5995 |
| NPI Number | 1639530629 |
|---|---|
| Provider Enumeration Date | 03/17/2016 |
| Last Update Date | 03/17/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639530629 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 080003355 (Virginia) | Secondary |
| 1041C0700X | Social Worker - Clinical | 904005796 (Virginia) | Primary |
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