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MS. JUDITH HEFFNER LCSW

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

Registrant NPI Number: 1598914061

Individual Registrant:
MS. JUDITH  HEFFNER LCSW
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

Contact information for business:
3018 JAVIER RD  FAIRFAX, VA 22031-4609 US
Tel: 703-204-9100  Fax: 703-204-9590

Registration Information:
NPI: 1598914061
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y104100000XBehavioral Health & Social Service Providers
Social Worker
VA0904003210

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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