Individual
MRS. BEVERLY MARGARET WORTHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
9514 SHELLY KRASNOW LN, FAIRFAX, VA 22031-4727
(703) 934-0324
Mailing address
9514 SHELLY KRASNOW LN, FAIRFAX, VA 22031-4727
(703) 934-0324
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904-001978
VA
Other
Enumeration date
06/01/2007
Last updated
07/08/2007
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