Individual
MRS. CARLIN M BRODIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
720 N SAINT ASAPH ST, ALEXANDRIA, VA 22314-1912
(703) 838-6400
(703) 838-5070
Mailing address
12608 NICHOLS PROMISE DR, BOWIE, MD 20720-5602
(301) 860-1073
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904003524
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0086
CARE FIRST BCBS
VA
Enumeration date
12/11/2006
Last updated
07/08/2007
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