Individual
MR. ROOSEVELT MILTON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3800 POWELL LN APT 530, FALLS CHURCH, VA 22041-3664
(703) 434-2713
Mailing address
3800 POWELL LN APT 530, FALLS CHURCH, VA 22041-3664
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/22/2012
Last updated
05/22/2012
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