Individual
JADE ANGELYCA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8221 WILLOW OAKS CORPORATE DR # 2-431, FAIRFAX, VA 22031-4512
(703) 207-7899
(703) 653-9501
Mailing address
8221 WILLOW OAKS CORPORATE DR # 2-431, FAIRFAX, VA 22031-4512
(703) 207-7899
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904014311
VA
Other
Enumeration date
09/27/2022
Last updated
09/27/2022
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