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Individual

MR. GERALD JOSEPH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW, LCSW

Contact information

Practice address
4700 KING ST STE 100, ALEXANDRIA, VA 22302-4420
(202) 751-8352
Mailing address
4700 KING ST STE 100, ALEXANDRIA, VA 22302-4420
(571) 665-6610
(571) 665-6611

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
1041C0700X
Clinical Social Worker
Primary
0904015238
VA
171M00000X
Case Manager/Care Coordinator
222Q00000X
Developmental Therapist

Other

Enumeration date
05/12/2014
Last updated
05/09/2023
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