Individual
HALLIE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 LITTLE FALLS ST STE 306, FALLS CHURCH, VA 22046-4302
(703) 231-7991
Mailing address
4151 MONUMENT HILL WAY APT 15206, FAIRFAX, VA 22030-8321
(865) 387-0690
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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