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MS. JUDITH HEFFNER LCSW
>> Social Worker >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1598914061
Individual Registrant:MS. JUDITH HEFFNER LCSW
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
3018 JAVIER RD FAIRFAX, VA 22031-4609 US
Tel: 703-204-9100 Fax: 703-204-9590
Tel: 703-204-9100 Fax: 703-204-9590
Contact information for business:
3018 JAVIER RD FAIRFAX, VA 22031-4609 US
Tel: 703-204-9100 Fax: 703-204-9590
Tel: 703-204-9100 Fax: 703-204-9590
Registration Information:
NPI: 1598914061
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 104100000X | Behavioral Health & Social Service Providers Social Worker | VA | 0904003210 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
