Individual
MISS CHERYL WIETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
101 ROWELL CT, SUITE 300, FALLS CHURCH, VA 22046-3126
(703) 533-1996
(703) 533-2100
Mailing address
101 ROWELL CT, SUITE 300, FALLS CHURCH, VA 22046-3126
(703) 533-1996
(703) 533-2100
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904001342
VA
Other
Enumeration date
11/09/2007
Last updated
11/09/2007
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