Individual
JENNIFER MICHELLE RULLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
3930 WALNUT ST STE 250, FAIRFAX, VA 22030-4750
(202) 674-4422
Mailing address
3930 WALNUT ST STE 250, FAIRFAX, VA 22030-4750
(202) 674-4422
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904011153
VA
Other
Enumeration date
11/08/2022
Last updated
11/08/2022
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