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Organization

ALICE KASSABIAN PHD LCSW LTD

Active
Other names
Alice Kassabian DSW LCSW LTD
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ALICE KASSABIAN PHD (PRESIDENT)
(703) 242-0896
Entity
Organization

Contact information

Practice address
243 CHURCH ST NW, SUITE 300A, VIENNA, VA 22180-4434
(703) 242-0896
(703) 938-8393
Mailing address
243 CHURCH ST NW, SUITE 300A, VIENNA, VA 22180-4434
(703) 242-0896
(703) 938-8393

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904000070
VA
1041C0700X
Clinical Social Worker
LC301551
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
46952
TRIGON
01
85600001
CAREFIRST BCBS
Enumeration date
11/21/2006
Last updated
02/19/2008
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