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Organization
OLD TOWN THERAPY & WELLNESS CENTER, LLC
Active
Organization
OLD TOWN THERAPY & WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN ROSS LCSW (DIRECTOR)
(703) 577-5550
Entity
Organization
Contact information
Practice address
6119 HOLLY TREE DR, ALEXANDRIA, VA 22310-2215
(703) 577-5550
Mailing address
817 KING ST STE 203A, ALEXANDRIA, VA 22314-3016
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904005550
VA
Other
Enumeration date
03/06/2013
Last updated
03/06/2013
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