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Individual

JARROD WALLACE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
8270 WILLOW OAKS CORPORATE DR, FAIRFAX, VA 22031-4530
(571) 572-6000
Mailing address
8270 WILLOW OAKS CORPORATE DR, FAIRFAX, VA 22031-4530

Taxonomy

Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary

Other

Enumeration date
05/24/2023
Last updated
05/24/2023
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