Individual
JULIA ELISE SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LCSW, LCSWC
Contact information
Practice address
3921 BLENHEIM BLVD STE 73C, FAIRFAX, VA 22030-2429
(315) 456-9551
Mailing address
3921 BLENHEIM BLVD STE 73C, FAIRFAX, VA 22030-2429
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
111917-01
NY
104100000X
Social Worker
28972
MD
1041C0700X
Clinical Social Worker
Primary
0904017077
VA
1041C0700X
Clinical Social Worker
099921
NY
1041C0700X
Clinical Social Worker
28972
MD
Other
Enumeration date
09/29/2021
Last updated
05/07/2026
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