Individual
INA J. WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5249 DUKE ST STE 200, ALEXANDRIA, VA 22304-2907
(703) 823-3972
Mailing address
5249 DUKE ST STE 200, ALEXANDRIA, VA 22304-2907
(703) 823-3972
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904002157
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1745
CARE FIRST BCBS
VA
Enumeration date
01/05/2007
Last updated
07/08/2007
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