Individual
MR. GEORGE KERMIT COYNE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
112 S PITT ST, ALEXANDRIA, VA 22314-3112
(703) 328-4112
Mailing address
1004 DANTON LN, ALEXANDRIA, VA 22308-2620
(703) 328-4112
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904005980
VA
Other
Enumeration date
11/29/2006
Last updated
02/17/2021
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