-- GEORGINA ANTAKLY -- LICSW
Individual Provider (NPI-1)
Active
Social Worker, Clinical
Provider Information
- NPI Number
1306140058- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LICSW
- Status
- Active
Contact & Location
- Address
- 1201 N FILLMORE ST APT 1011, ARLINGTON, VA, 222012876
- Phone
- (240) 481-1039
Specialties & Taxonomies
Social Worker, Clinical
License: NY #079737
Social Worker, Clinical
Primary License: DC #50079964