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Individual

CARA MICHELLE ROOT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
7350 HERITAGE VILLAGE PLZ, SUITE 201, GAINESVILLE, VA 20155-3084
(571) 248-0626
(866) 817-3052
Mailing address
2599 TREE HOUSE DR, WOODBRIDGE, VA 22192-1310
(703) 599-2937

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904008352

Other

Enumeration date
09/04/2013
Last updated
09/04/2013
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