NPI 1013419175

Jean Wyman, LCSW

Practitioner School Social Worker Vienna, VA

Practice location

Address: 730 Marshall Rd SW, Vienna, VA 22180-6465
Phone: (703) 937-1558

Registered specialties

School Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041S0200X Licence PPS-0600304 (VA)

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Registry record

NPI: 1013419175
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Mar 2018
Record last updated: 5 Mar 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.