Individual
MS. IVY F WEITZNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3018 JAVIER RD, FAIRFAX, VA 22031-4609
(703) 204-9100
(703) 204-9590
Mailing address
3018 JAVIER RD, FAIRFAX, VA 22031-4609
(703) 204-9100
(703) 204-9590
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904001644
VA
Other
Enumeration date
02/15/2010
Last updated
02/15/2010
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