Individual
JENNA FAY DEVORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
144 CHURCH ST NW STE 205, VIENNA, VA 22180-4550
(703) 622-8378
Mailing address
144 CHURCH STREET NW, SUITE 205, VIENNA, VA 22180
(571) 261-7764
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0906011629
VA
Other
Enumeration date
09/28/2021
Last updated
09/28/2021
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