Individual
MISS JENNIFER ECKERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10339-A DEMOCRACY BLVD, FAIRFAX, VA 22030
(571) 236-1536
Mailing address
5814 ORCHARD HILL LANE, CLIFTON, VA 20124
(571) 236-1536
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904006490
VA
Other
Enumeration date
04/01/2010
Last updated
04/01/2010
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