Individual
MRS. JENNIFER SMOOT GISIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
3611 CHAIN BRIDGE RD STE D, FAIRFAX, VA 22030-3246
(703) 380-9045
Mailing address
3611 CHAIN BRIDGE RD STE D, FAIRFAX, VA 22030-3246
(703) 380-9045
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/27/2021
Last updated
09/27/2021
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