Gina Park
Gina Park is a Clinical Social Worker in Fairfax, Virginia. Practices as a sole proprietor. Licensed in Virginia.
- Licensed in
- VA
- In the registry since
- 2015
Practice location Address checks out
10195 Main St Ste OFairfax, VA 22031-3415
Phone: (703) 332-1845
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 0904008989 (VA) |
|---|
Record details
| NPI number | 1477934743 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | June 12, 2015 |
| Last updated in NPPES | May 29, 2025 |
| Certification date | May 29, 2025 |
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