Individual
FATINA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10560 MAIN ST, SUITE 317, FAIRFAX, VA 22030-7182
(703) 728-8329
(703) 636-3185
Mailing address
10560 MAIN ST, SUITE 317, FAIRFAX, VA 22030-7182
(703) 728-8329
(703) 636-3185
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904006958
VA
Other
Enumeration date
01/24/2010
Last updated
08/15/2013
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