Individual
LOVA SHIRIN ANDERSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1651 OLD MEADOW RD, MC LEAN, VA 22102-4311
(800) 828-5659
Mailing address
2422 SANDBURG ST, DUNN LORING, VA 22027-1231
(703) 388-8146
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/22/2020
Last updated
07/22/2020
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