Individual
KAITLYN HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
425 CARLISLE DR STE A, HERNDON, VA 20170-5618
(571) 485-9755
Mailing address
3092 COVINGTON ST, FAIRFAX, VA 22031-2046
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0734006100
VA
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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