Individual
ANNELIE ELLA MARTHA GUTERMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1102 RUGBY ROAD, CHARLOTTESVILLE, VA 22903-1610
(631) 526-8915
Mailing address
1102 RUGBY ROAD, CHARLOTTESVILLE, VA 22903-1610
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0906015902
VA
Other
Enumeration date
10/24/2024
Last updated
10/24/2024
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