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Individual

JEAN MARIE MATTESON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW-C, LCSW

Contact information

Practice address
18447 RIM ROCK CIR, LEESBURG, VA 20176-6838
(301) 461-4019
Mailing address
18447 RIM ROCK CIR, LEESBURG, VA 20176-6838
(301) 461-4019

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904004543
VA

Other

Enumeration date
06/22/2022
Last updated
06/22/2022
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