Individual
MR. BRIAN HENRY MARVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
14150 PARKEAST CIR STE 200, SUITE 200, CHANTILLY, VA 20151-4212
(703) 968-4000
(703) 263-1724
Mailing address
3525 AUSTIN AVE, ALEXANDRIA, VA 22310-3103
(703) 960-5798
(703) 263-1724
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904003231
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004945107
—
VA
Enumeration date
07/18/2006
Last updated
05/15/2013
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