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Phyllis Jacobson Kram, LCSW

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

NPI number1164577474
StatusActive
Last updated in NPPESDec 11, 2007

Details

NPI
1164577474
Entity type
Individual (NPI-1)
Name
Phyllis Jacobson Kram
Credential
LCSW
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 24, 2007
Last updated
Dec 11, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical0904000778VAYes

Practice location

5910 Chesterbrook Rd
McLean, VA 22101-3348

Phone 703-536-1603

Mailing address

5910 Chesterbrook Rd
McLean, VA 22101-3348

Phone 703-536-1603

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