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Individual

HEATHER JANE HALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW, LGSW

Contact information

Practice address
1205 DOLLEY MADISON BLVD, MC LEAN, VA 22101-3019
(703) 335-6172
Mailing address
6722 PINE CREEK CT, MC LEAN, VA 22101-5519
(651) 231-5933

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0903003336
VA

Other

Enumeration date
01/24/2022
Last updated
01/24/2022
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