Provider Information for 1982473922
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JACQUELINE MONIQUE BARON LICSW
Sex: Female
NPI: 1982473922
Last Updated: 2024-01-01
Certification Date: 2023-12-30
Certification Date: 2023-12-30
Details
Name | Value | ||||||||
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NPI | 1982473922 | ||||||||
Enumeration Date | 2024-01-01 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | NO | ||||||||
Status | Active | ||||||||
Mailing Address | 2803 POAG ST APT 3132 ALEXANDRIA, VA 22303-2472 United States Phone: 770-853-0881 | Fax: | ||||||||
Primary Practice Address | 2803 POAG ST APT 3132 ALEXANDRIA, VA 22303-2472 United States Phone: 770-853-0881 | Fax: | ||||||||
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