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Individual

MS. TAKAHYA EVERETT- GATLIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4324 VERMONT AVE, ALEXANDRIA, VA 22304-4922
(703) 965-0739
Mailing address
4324 VERMONT AVE, ALEXANDRIA, VA 22304-4922
(703) 965-0739

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
VA
251B00000X
Case Management Agency
Primary
253Z00000X
In Home Supportive Care Agency
13600
VA
385H00000X
Respite Care

Other

Enumeration date
12/26/2023
Last updated
11/18/2025
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