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DR. WILLIAM LOUIS LICAMELE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6760 OLD MCLEAN VILLAGE DR., MCLEAN, VA 22101-3906
(703) 734-6927
Mailing address
6760 OLD MCLEAN VILLAGE DR, MCLEAN, VA 22101-3906
(703) 734-6927

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
0101027430
VA
2084P0804X
Child & Adolescent Psychiatry Physician
6790
WA

Other

Enumeration date
03/22/2007
Last updated
06/08/2009
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