Individual
COLLEEN CASSIDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M. ED.
Contact information
Practice address
4326 DUKE ST, ALEXANDRIA, VA 22304-2528
(703) 346-1836
Mailing address
4326 DUKE ST, ALEXANDRIA, VA 22304-2528
(703) 346-1836
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
13989
VA
Other
Enumeration date
01/16/2019
Last updated
01/16/2019
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