Individual
DAICY GENUINA SOARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2801 PARK CENTER DR APT A607, ALEXANDRIA, VA 22302-1421
(203) 725-5768
Mailing address
2801 PARK CENTER DR APT A607, ALEXANDRIA, VA 22302-1421
(203) 725-5768
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC50082561
DC
Other
Enumeration date
05/31/2022
Last updated
05/31/2022
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