Individual
KIMBERLY JO CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1707 OSAGE ST, 404, ALEXANDRIA, VA 22302-2607
(703) 824-8248
(703) 824-8212
Mailing address
1707 OSAGE ST, 404, ALEXANDRIA, VA 22302-2607
(703) 824-8248
(703) 824-8212
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904001689
VA
1041C0700X
Clinical Social Worker
Primary
SW8001
FL
Other
Enumeration date
09/06/2007
Last updated
12/01/2008
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