Individual
MS. JILL ELIZABETH MANSKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
OF VETERANS AFFAIRS, 810 VERMONT AVENUE NW, WASHINGTON, DC 20420-0001
(202) 273-8549
(202) 273-8385
Mailing address
12209 ROWAN TREE DR, FAIRFAX, VA 22030-6230
(703) 815-7953
(202) 273-8385
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03520
LICENSED INDEPENDENT SW
MN
Enumeration date
07/11/2006
Last updated
07/08/2007
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