Individual
MS. EVELYN CECILIA WADSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4318 CAPRICE COURT, ALEXANDRIA, VA 22310
(703) 960-7610
(703) 960-7610
Mailing address
4318 CAPRICE COURT, ALEXANDRIA, VA 22310
(703) 960-7610
(703) 960-7610
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904000784
VA
Other
Enumeration date
11/14/2006
Last updated
07/08/2007
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