Individual
ELIZABETH ANNE BROCATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11204 WAPLES MILL RD, FAIRFAX, VA 22030-6036
(703) 218-8571
Mailing address
3305 WYNDHAM CIR, #352, ALEXANDRIA, VA 22302-4335
(213) 926-2693
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904006752
VA
1041C0700X
Clinical Social Worker
23651
CA
Other
Enumeration date
03/22/2007
Last updated
01/23/2008
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