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ALEXANDRA T HEARD LCSW

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1598161119

Individual Registrant:
 ALEXANDRA T HEARD LCSW
Gender: F
Not Sole Proprietor

Location and contact information for practice:
11204 WAPLES MILL RD  FAIRFAX, VA 22030-6036 US
Tel: 703-218-8500  Fax: --

Contact information for business:
11204 WAPLES MILL ROAD  FAIRFAX, VA 22030 US
Tel: --  Fax: --

Registration Information:
NPI: 1598161119
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
VA0904008770

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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