Individual
FEDERICO D GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2 E GLEBE RD, ALEXANDRIA, VA 22305-2938
(703) 535-5568
(703) 535-1583
Mailing address
2 E GLEBE RD, ALEXANDRIA, VA 22305-2938
(703) 535-5568
(703) 535-1583
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904006602
VA
Other
Enumeration date
06/05/2008
Last updated
06/05/2008
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