Individual
MRS. JORDAN GULLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
800 JOHN CARLYLE ST APT 313, ALEXANDRIA, VA 22314-6849
(804) 366-6823
Mailing address
800 JOHN CARLYLE ST APT 313, ALEXANDRIA, VA 22314-6849
(804) 366-6823
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC50081232
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
VARIOUS
DC
Enumeration date
12/10/2021
Last updated
12/10/2021
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