Individual
MS. BEVERLY HOPE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
5834 N KINGS HWY STE D, ALEXANDRIA, VA 22303-2039
(703) 317-1541
(703) 317-1531
Mailing address
5834 N KINGS HWY STE D, ALEXANDRIA, VA 22303-2039
(703) 317-1541
(703) 317-1531
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904006953
VA
Other
Enumeration date
11/03/2008
Last updated
11/10/2008
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