Individual
CHRISTINE PRIMUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
501 CHURCH ST NE STE 209, VIENNA, VA 22180-4734
(571) 455-2915
Mailing address
13330 TANNERY CT, FAIRFAX, VA 22033-1419
(571) 323-1875
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904008242
VA
Other
Enumeration date
06/28/2021
Last updated
06/28/2021
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