Individual
JUSTIN BEVERAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6901 S VAN DORN ST, ALEXANDRIA, VA 22315-3961
(703) 313-6314
Mailing address
6901 S VAN DORN ST, ALEXANDRIA, VA 22315-3961
(703) 313-6314
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904016571
VA
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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