Individual
MRS. BEULAH LEVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW#
Contact information
Practice address
1320 VINCENT PL, MC LEAN, VA 22101-3614
(703) 356-8994
Mailing address
1417 BUENA VISTA AVE, MC LEAN, VA 22101-3511
(703) 356-8994
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904004045
VA
Other
Enumeration date
05/03/2008
Last updated
05/03/2008
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