Individual
JENNIFER D BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
8140 ASHTON AVE, SUITE 200, MANASSAS, VA 20109-5698
(703) 330-9933
(703) 368-8454
Mailing address
8140 ASHTON AVE, SUITE 200, MANASSAS, VA 20109-5698
(703) 330-9933
(703) 368-8454
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904007817
VA
Other
Enumeration date
03/26/2012
Last updated
03/26/2012
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