MICHAEL ALLISON RIDGE

FAIRFAX, VA
NPI1114699048
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: VA  0904009175)
Enumeration Date2021-09-29
Last Update Date2021-09-29
Business Address
MICHAEL ALLISON RIDGE LCSW
10615 JUDICIAL DR STE 301
FAIRFAX, VA 22030-7501
Phone number: 703-667-0752
Mailing Address
MICHAEL ALLISON RIDGE LCSW
502 W BROAD ST APT 317
FALLS CHURCH, VA 22046-3244
Phone number: 703-966-9658