Individual
CHRISTA JEUTTER DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
127 PARK ST NE, VIENNA, VA 22180-4602
(703) 281-4928
Mailing address
3006 WESTHURST LN, OAKTON, VA 22124-1749
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904009990
VA
Other
Enumeration date
10/31/2017
Last updated
10/31/2017
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