Individual
JEANNE BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 WASHINGTON BLVD FL 4, ARLINGTON, VA 22204-5717
(703) 228-1749
Mailing address
2100 WASHINGTON BLVD FL 4, ARLINGTON, VA 22204-5717
(703) 228-1749
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0904007278
VA
Other
Enumeration date
03/16/2018
Last updated
03/16/2018
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