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Individual

JENNIFER LAYDEN WEAVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW, LCSW-C, RPT

Contact information

Practice address
1491 CHAIN BRIDGE RD, SUITE 302, MCLEAN, VA 22101-5725
(703) 598-5559
Mailing address
1470 WAGGAMAN CIR, MCLEAN, VA 22101-4004
(703) 790-0015

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904004674
VA
1041C0700X
Clinical Social Worker
10568
MD

Other

Enumeration date
04/03/2007
Last updated
07/08/2007
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