Individual
COLETTE JUNOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6902 INLET COVE DR, FORT BELVOIR, VA 22060-7433
(571) 585-1082
Mailing address
6902 INLET COVE DR, FORT BELVOIR, VA 22060-7433
(571) 585-1082
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801118665
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6801118665
STATE LICENSING NUMBER LCSW
MI
Enumeration date
08/19/2024
Last updated
08/22/2024
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