Individual
MS. HEIDI BLATTEL-BRENNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
10560 MAIN ST, SUITE 410, FAIRFAX, VA 22030-7182
(703) 352-8536
(703) 352-9040
Mailing address
10560 MAIN ST, SUITE 410, FAIRFAX, VA 22030-7182
(703) 352-8536
(703) 352-9040
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904002651
VA
Other
Enumeration date
04/09/2007
Last updated
03/26/2012
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