Individual
MS. HOLLY BETH SEGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.W.
Contact information
Practice address
8500 EXECUTIVE PARK AVE STE 200, FAIRFAX, VA 22031-2228
(703) 698-5220
(703) 572-2351
Mailing address
8500 EXECUTIVE PARK AVE # SUOTE200, FAIRFAX, VA 22031-2225
(703) 698-5220
(703) 572-2351
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
12012
MD
1041C0700X
Clinical Social Worker
Primary
LC50077901
DC
Other
Enumeration date
10/15/2011
Last updated
06/14/2023
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