PHILLIP GENTRY CALDWELL

ALEXANDRIA, VA
NPI1073677233
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: VA  0904005530)
Enumeration Date2006-12-21
Last Update Date2007-07-08
Business Address
-- PHILLIP GENTRY CALDWELL LCSW
720 N SAINT ASAPH ST
ALEXANDRIA, VA 22314-1912
Phone number: 703-838-4455
Mailing Address
-- PHILLIP GENTRY CALDWELL LCSW
6906 HAMILTON CT
LORTON, VA 22079-1213
Phone number: 703-838-4455