Individual
JEAN WYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
730 MARSHALL RD SW, VIENNA, VA 22180-6465
(703) 937-1558
Mailing address
730 MARSHALL RD SW, VIENNA, VA 22180-6465
(703) 937-1558
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
PPS-0600304
VA
Other
Enumeration date
03/05/2018
Last updated
03/05/2018
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