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Individual

BRUHASPATY PRASAD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LSW

Contact information

Practice address
2121 EISENHOWER AVE, ALEXANDRIA, VA 22314-4698
(703) 552-2722
Mailing address
PO BOX 604, MC LEAN, VA 22101-0604
(703) 963-2229

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
02/26/2020
Last updated
02/26/2020
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