Individual
MRS. JEANNE TEDRA MAHONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1364 BEVERLY RD, SUITE 304, MCLEAN, VA 22101-3600
(703) 593-5194
Mailing address
1815 MCGUIRE CT, VIENNA, VA 22182-1949
(703) 593-5194
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904006228
VA
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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