Individual
ANN AHEARN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
907 CORNELL ST, FREDERICKSBURG, VA 22401-4718
(540) 656-6766
Mailing address
907 CORNELL ST, FREDERICKSBURG, VA 22401-4718
(540) 656-6766
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904005943
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
194131
ANTHEM
—
01
—
373651
TRICARE
—
Enumeration date
09/20/2006
Last updated
12/21/2021
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