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Individual

BRIAN PETER JENNINGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
11 HOPE RD, #23, STAFFORD, VA 22554-7202
(540) 658-0888
Mailing address
4904 WAKEFIELD CHAPEL RD, ANNANDALE, VA 22003-4467
(703) 309-5080

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0904005989
VA

Other

Enumeration date
03/14/2006
Last updated
07/21/2022
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