Individual
MISS CHELSEA DAWN CLUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1651 OLD MEADOW RD STE 600, MC LEAN, VA 22102-4389
(703) 582-3330
Mailing address
10410 ARMSTRONG ST, FAIRFAX, VA 22030-3616
(785) 741-4984
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
VA
Other
Enumeration date
06/11/2019
Last updated
06/11/2019
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