Individual
HIAWKAL GIZACHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4529 SOUTHLAND AVE, ALEXANDRIA, VA 22312-1621
(703) 531-9325
(703) 619-0045
Mailing address
4529 SOUTHLAND AVE, ALEXANDRIA, VA 22312-1621
(703) 531-9325
(703) 619-0045
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904009036
VA
Other
Enumeration date
06/19/2015
Last updated
06/19/2015
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