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Individual

MISS JENNIFER SMITH DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
8500 EXECUTIVE PARK AVE STE 202, FAIRFAX, VA 22031-2253
(703) 852-7020
(703) 289-4612
Mailing address
1805 MONUMENT AVE APT 601, RICHMOND, VA 23220-2822
(609) 651-3678

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904014303
VA

Other

Enumeration date
11/16/2022
Last updated
07/19/2023
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