Individual
GRETCHEN FAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1629 K STREET, N.W., SUITE 300, WASHINGTON, DC 20006
(202) 349-5844
Mailing address
1300 COMMONWEALTH AVE, ALEXANDRIA, VA 22301-2022
(703) 362-1525
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC50078970
DC
Other
Enumeration date
08/16/2010
Last updated
10/14/2010
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