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PAUL MICHAEL HART LCSW
Clinical >> Social Worker >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1053498816
Individual Registrant: PAUL MICHAEL HART LCSW
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
10560 MAIN ST SUITE 410 FAIRFAX, VA 22030-7182 US
Tel: 703-352-9851 Fax: 703-352-9040
Tel: 703-352-9851 Fax: 703-352-9040
Contact information for business:
2311 PIMMIT DR APT 318 FALLS CHURCH, VA 22043-2815 US
Tel: 703-568-9507 Fax: --
Tel: 703-568-9507 Fax: --
Registration Information:
NPI: 1053498816
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1041C0700X | Behavioral Health & Social Service Providers Social Worker Clinical | VA | 0904004480 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
