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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386707024 NPPES
Virginia Other 0904001215 STATE LICENSE NUMBER

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