Individual
GEORGINA ANTAKLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1201 N FILLMORE ST, APT 1011, ARLINGTON, VA 22201-2876
(240) 481-1039
Mailing address
1201 N FILLMORE ST, APT 1011, ARLINGTON, VA 22201-2876
(240) 481-1039
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
079737
NY
1041C0700X
Clinical Social Worker
Primary
50079964
DC
Other
Enumeration date
01/10/2011
Last updated
07/15/2014
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