Individual
JASON BORGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
6901 S VAN DORN ST, ALEXANDRIA, VA 22315-3961
(703) 313-6335
Mailing address
6901 S VAN DORN ST, ALEXANDRIA, VA 22315-3961
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904009673
VA
Other
Enumeration date
04/17/2018
Last updated
04/17/2018
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