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Organization
VICTORIA V, LLC
Active
Organization
VICTORIA V, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA VAN LEEUWEN (OWNER)
(703) 501-4795
Entity
Organization
Contact information
Practice address
10560 MAIN ST STE 315, FAIRFAX, VA 22030-7175
(703) 688-3581
Mailing address
25275 KENNEBEC DR, SOUTH RIDING, VA 20152-4468
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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