Damron, Bonnie Lucille
Damron, Bonnie Lucille is an sole proprietor health care provider with primary practice located at 600 Roosevelt Blvd Apt G2 , Falls Church VA 22044-3129. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Damron, Bonnie Lucille can be contacted via phone (703) 538-4289.Contact Information
Primary practice address
600 Roosevelt Blvd Apt G2
Falls Church VA 22044-3129
Phone: (703) 538-4289
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 0904001215 | Virginia |
Profile Details
NPI number | 1386707024 |
---|---|
LBN Legal business name | Damron, Bonnie Lucille |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 17th, 2006 |
Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1386707024 | NPPES |
Virginia | Other | 0904001215 | STATE LICENSE NUMBER |
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