Individual
DR. MARIANNE BOOTS TALBOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5747 4TH ST N, ARLINGTON, VA 22205-1003
(703) 521-6966
(703) 521-6966
Mailing address
5747 4TH ST N, ARLINGTON, VA 22205-1003
(703) 521-6966
(703) 521-6966
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
00009591
VA
225400000X
Rehabilitation Practitioner
Primary
0715002953
VA
225C00000X
Rehabilitation Counselor
00009591
VA
Other
Enumeration date
12/16/2010
Last updated
12/16/2010
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