Individual
JILL FARNSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2 PIDGEON HILL DR, SUITE 450, STERLING, VA 20165-6145
(571) 405-0566
(703) 433-1558
Mailing address
42496 LEGACY PARK DR, ASHBURN, VA 20148-5616
(571) 405-0566
(703) 433-1558
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904005686
VA
Other
Enumeration date
12/01/2010
Last updated
12/01/2010
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