Organization
BETH BROCATO LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETH BROCATO LCSW (PSYCHOTHERAPIST)
(703) 400-8505
Entity
Organization
Contact information
Practice address
10555 MAIN ST, SUITE 300, FAIRFAX, VA 22030-3306
(703) 400-8505
Mailing address
10555 MAIN ST, SUITE 300, FAIRFAX, VA 22030-3306
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904006752
VA
Other
Enumeration date
08/12/2015
Last updated
08/12/2015
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