Individual
JODI EILEEN BRAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LICSW LCSW
Contact information
Practice address
6829 ELM ST, SUITE 300, MC LEAN, VA 22101-3884
(703) 532-4892
(703) 237-3105
Mailing address
6829 ELM ST, SUITE 300, MC LEAN, VA 22101-3884
(703) 532-4892
(703) 237-3105
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904006719
VA
1041C0700X
Clinical Social Worker
LC50077897
DC
Other
Enumeration date
10/03/2007
Last updated
09/04/2014
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