Individual
MRS. JACQUELINE LEIGH BOWEN ST CLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9300 FOREST POINT CR, MANASSAS, VA 20110
(703) 622-4253
(703) 622-4254
Mailing address
9100 CHURCH ST, SUITE 107, MANASSAS, VA 20110
(703) 530-1360
(703) 530-1362
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904006181
VA
Other
Enumeration date
05/03/2008
Last updated
06/12/2008
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