Organization
ENDEPENDENCE CENTER OF NORTHERN VIRGINIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BREWSTER THACKERAY (EXECUTIVE DIRECTOR)
(703) 525-3268
Entity
Organization
Contact information
Practice address
2300 CLARENDON BLVD, 305, ARLINGTON, VA 22201-3398
(703) 525-3268
(703) 525-3585
Mailing address
2300 CLARENDON BLVD, 305, ARLINGTON, VA 22201-3398
(703) 525-3268
(703) 525-3585
Taxonomy
Speciality
Code
Description
License number
State
251X00000X
Supports Brokerage Agency
Primary
—
—
Other
Enumeration date
07/15/2015
Last updated
07/15/2015
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