| Doctor Name: | MS. VIRGINIA MARIE MCKINLEY |
| NPI Number: | 1578658696 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LICSW |
| License Number: | LC301174 |
| Business Practice Address: | 49 Mdos/sgoh 200 First Street Holloman Afb, NM - 88330 |
| Business Phone Number: | 5055725676 |
| Business Fax Number: | 5055722126 |
| Mailing Address: | 43 Pueblo Trl, ALAMOGORDO |
| State: | NM |
| Postal Code: | 883109757 |
| Phone Number: | 5054372304 |
| Fax Number: | |
| NPI Enumeration Date: | 10/04/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | LC301174 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | DC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |