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MR. JEFFREY BARTLESON HEWITT LCSW

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1477954337

Individual Registrant:
MR. JEFFREY BARTLESON HEWITT LCSW
Gender: M
Sole Proprietor

Location and contact information for practice:
8500 EXECUTIVE PARK AVE STE 204  FAIRFAX, VA 22031-2253 US
Tel: 703-876-8480  Fax: 703-876-8482

Contact information for business:
3454 S UTAH ST APT B1  ARLINGTON, VA 22206-1942 US
Tel: 703-303-7027  Fax: --

Registration Information:
NPI: 1477954337
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
VA0904005687

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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