Individual
JAN L WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
505 WYTHE ST, ALEXANDRIA, VA 22314-1917
(571) 305-2320
Mailing address
407 N LEE ST, ALEXANDRIA, VA 22314-2301
(703) 408-0091
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904007670
VA
1041C0700X
Clinical Social Worker
LC50079206
DC
Other
Enumeration date
06/14/2013
Last updated
04/21/2017
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