Individual
JILLIAN MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5904 WIVENHOE CT, ALEXANDRIA, VA 22315-4015
(210) 564-5571
Mailing address
5904 WIVENHOE CT, ALEXANDRIA, VA 22315-4015
(210) 564-5571
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904013766
VA
Other
Enumeration date
06/19/2020
Last updated
06/11/2024
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