Individual
MR. KENNETH GEOFFREY MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
13914 ROCK STILL CT, CLIFTON, VA 20124-2529
(571) 359-7770
Mailing address
13914 ROCK STILL CT, CLIFTON, VA 20124-2529
(571) 359-7770
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904004599
VA
Other
Enumeration date
07/26/2006
Last updated
01/30/2020
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