Individual
KARA CLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1483 CHAIN BRIDGE RD STE 301, MC LEAN, VA 22101-5703
(518) 817-0731
Mailing address
1483 CHAIN BRIDGE RD STE 301, MC LEAN, VA 22101-5703
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904010358
VA
Other
Enumeration date
02/10/2018
Last updated
02/10/2018
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