Individual
JESENIA ALONSO AREVALO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14469 SAINT GERMAIN DR, CENTREVILLE, VA 20121-2225
(703) 321-6900
Mailing address
14469 SAINT GERMAIN DR, CENTREVILLE, VA 20121-2225
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904012536
VA
Other
Enumeration date
12/22/2020
Last updated
12/22/2020
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