Individual
MRS. JENNIFER MARIE GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1503 RUSSELL RD, ALEXANDRIA, VA 22301-2052
(703) 568-7909
Mailing address
1503 RUSSELL RD, ALEXANDRIA, VA 22301-2052
(703) 568-7909
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904009076
VA
Other
Enumeration date
04/03/2020
Last updated
04/03/2020
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