Individual
MRS. JANUARY S GEDAMU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
324 N FAIRFAX ST STE 200, ALEXANDRIA, VA 22314-2625
(804) 270-1124
(804) 270-2070
Mailing address
324 N FAIRFAX ST STE 200, ALEXANDRIA, VA 22314-2625
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904006488
VA
Other
Enumeration date
05/12/2008
Last updated
03/01/2019
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