Individual
LARA W. HAMMOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1360 BEVERLY RD STE 200, MC LEAN, VA 22101-3647
(703) 831-8300
Mailing address
9627 COUNSELLOR DR NW, VIENNA, VA 22181-3250
(703) 242-9633
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904015748
VA
Other
Enumeration date
09/08/2021
Last updated
10/09/2023
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