Individual
MS. TRACEY JACKSON-WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
WALTER REED ARMY MEDICAL CTR, 6900 GEORGIA AVE NW, SOCIAL WORK DEPARTMENT, WASHINGTON, DC 20307-0001
(202) 782-6378
(202) 782-4922
Mailing address
WALTER REED ARMY MEDICAL CTR, 6900 GEORGIA AVE NW, BLDG 6 SOCIAL WORK DEPARTMENT, WASHINGTON, DC 20307-0001
(202) 782-6378
(202) 782-4922
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
13022
MD
Other
Enumeration date
10/28/2009
Last updated
10/28/2009
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