Individual
MS. JUDITH WELLES COUSINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
201 N FAIRFAX ST, SUITE 31, ALEXANDRIA, VA 22314-2639
(703) 921-1166
Mailing address
201 N FAIRFAX ST, SUITE 31, ALEXANDRIA, VA 22314-2639
(703) 921-1166
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904002597
VA
Other
Enumeration date
06/26/2007
Last updated
07/08/2007
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