Individual
MS. JENNIE LYNN MCKINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
10560 MAIN ST, SUITE 410, FAIRFAX, VA 22030-7182
(703) 352-9255
(703) 352-9040
Mailing address
10560 MAIN ST, SUITE 410, FAIRFAX, VA 22030-7182
(703) 352-9255
(703) 352-9040
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904004366
VA
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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