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Individual

MS. SUSAN C MACLANE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC, CEAP

Contact information

Practice address
2506 N UPSHUR ST, ARLINGTON, VA 22207-4060
(703) 528-4125
(703) 528-1744
Mailing address
2506 N UPSHUR ST, ARLINGTON, VA 22207-4060
(703) 528-4125
(703) 528-1744

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701002067
VA

Other

Enumeration date
09/17/2012
Last updated
09/17/2012
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