Individual
GERALD SMOLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW-C
Contact information
Practice address
5045 BACKLICK ROAD, ANNANDALE, VA 22032
(703) 914-1082
Mailing address
9306 CORONADO TER, FAIRFAX, VA 22031-3835
(703) 218-8457
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904001867
VA
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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