Individual
MRS. DIANNE B MODELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
405 N WASHINGTON ST STE 102, FALLS CHURCH, VA 22046-3410
(703) 304-7443
Mailing address
1714 N INGLEWOOD ST, ARLINGTON, VA 22205-3048
(703) 304-7443
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
VA
Other
Enumeration date
05/31/2007
Last updated
07/08/2007
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