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Organization
SAGE COMMUNITY COUNSELING LLC
Active
Organization
SAGE COMMUNITY COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAULA JEAN FLYNN LCSW (PRINCIPLE)
(703) 508-3565
Entity
Organization
Contact information
Practice address
2239B TACKETTS MILL DR, WOODBRIDGE, VA 22192-3026
(703) 508-3565
(866) 377-6092
Mailing address
478 HARBOR SIDE ST, WOODBRIDGE, VA 22191-5470
(703) 508-3565
(866) 377-6092
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904007725
VA
Other
Enumeration date
02/02/2018
Last updated
02/02/2018
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