Individual
JULIAN BADAWY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
425 CARLISLE DRIVE, HERNDON, VA 20170
(571) 263-1693
Mailing address
12613 BAYARD DRIVE, RESTON, VA 20191
(571) 263-1693
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904009457
VA
Other
Enumeration date
01/12/2017
Last updated
01/12/2017
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