Provider Information for 1336370790
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GABRIEL GEDIMINAS KAJECKAS LCSW-C
Sex: Male
NPI: 1336370790
Last Updated: 2009-08-04
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1336370790 | ||||||||
| Enumeration Date | 2009-08-04 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 11604 HUNTERS GREEN CT RESTON, VA 20191-3506 United States Phone: 703-216-8390 | Fax:703-716-8555 | ||||||||
| Primary Practice Address | 4848 BATTERY LN STE 202 BETHESDA, MD 20814-2703 United States Phone: 703-216-8390 | Fax: | ||||||||
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