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Individual

DANIEL LACROIX

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2671 AVENIR PL # B, VIENNA, VA 22180-7485
(703) 207-8600
(703) 207-9224
Mailing address
2671 AVENIR PL # B, VIENNA, VA 22180-7485
(703) 207-8600
(703) 207-9224

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904007232
VA
1041C0700X
Clinical Social Worker

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004945182
VA
Enumeration date
05/18/2007
Last updated
03/13/2024
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