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Jillian Marshall, LCSW

Social Worker, Clinical in Alexandria, VA. Individual provider (NPI-1).

NPI number1164048765
StatusActive
Last updated in NPPESJun 11, 2024

Details

NPI
1164048765
Entity type
Individual (NPI-1)
Name
Jillian Marshall
Credential
LCSW
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 19, 2020
Certification date
Jun 11, 2024
Last updated
Jun 11, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical0904013766VAYes

Practice location

5904 Wivenhoe Ct
Alexandria, VA 22315-4015

Phone 210-564-5571

Mailing address

5904 Wivenhoe Ct
Alexandria, VA 22315-4015

Phone 210-564-5571

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