Individual
BROOKE DIANE DEMBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4110 CHAIN BRIDGE RD STE 214, FAIRFAX, VA 22030-4020
(703) 246-2592
Mailing address
4110 CHAIN BRIDGE RD STE 214, FAIRFAX, VA 22030-4020
(703) 246-2592
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904009067
VA
Other
Enumeration date
11/20/2018
Last updated
05/26/2023
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