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Organization

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Organization

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Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MICHELLE MULLANY LCSW (CEO)
(917) 620-4510
Entity
Organization

Contact information

Practice address
4141 N HENDERSON RD PH 3, ARLINGTON, VA 22203-2452
(917) 620-4510
Mailing address
50 DALE ST, ALEXANDRIA, VA 22305-2411
(917) 620-4510

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
03/03/2018
Last updated
03/03/2018
About Stedi
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  • Eligibility checks
  • EDI platform