Individual
HEATHER ISABEL FENNERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4254 35TH ST S, ARLINGTON, VA 22206-1802
(703) 975-5039
Mailing address
4254 35TH ST S, ARLINGTON, VA 22206-1802
(703) 975-5039
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
21013
MD
Other
Enumeration date
04/10/2023
Last updated
04/10/2023
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