Individual
KAILYN R SLADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
12569 PLYMOUTH CT, WOODBRIDGE, VA 22192-2349
(703) 220-0037
Mailing address
12569 PLYMOUTH CT, WOODBRIDGE, VA 22192-2349
(703) 220-0037
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904012595
VA
1041S0200X
School Social Worker
Primary
PPS-0609108
VA
Other
Enumeration date
01/25/2021
Last updated
10/09/2025
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