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Individual

JANET HOLTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
L.C.S.W

Contact information

Practice address
12050 S LAKES DR, RESTON, VA 20191-1220
(703) 476-2348
Mailing address
12050 S LAKES DR, RESTON, VA 20191-1220
(703) 476-2348

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904000882
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1036558
CIGNA
VA
01
158333
VALUE OPTIONS
VA
01
223114
ANTHEM
VA
01
7233-0004
CARE FIRST
VA
01
7751097
AETNA
Enumeration date
01/31/2007
Last updated
07/08/2007
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