Individual
MRS. IRENE CAROL ILACHINSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
10400 EATON PL, STE 200, FAIRFAX, VA 22030-2208
(703) 497-1771
(703) 497-1225
Mailing address
10400 EATON PL STE 200, FAIRFAX, VA 22030-2208
(571) 989-4494
(703) 591-7210
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904006259
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346589587
NPPES
VA
Enumeration date
03/07/2007
Last updated
01/15/2020
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