Individual
KRISTEN TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
520 N WASHINGTON ST, SUITE 101, FALLS CHURCH, VA 22046-3538
(703) 241-2664
Mailing address
819 FULTON AVE, FALLS CHURCH, VA 22046-3228
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904003627
VA
Other
Enumeration date
01/30/2008
Last updated
01/30/2008
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