Individual
ALIZERETTE HERNANDEZ-VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4410 SHIRLEY GATE RD, FAIRFAX, VA 22030-5518
(703) 205-9452
Mailing address
4410 SHIRLEY GATE RD, FAIRFAX, VA 22030-5518
(703) 205-9452
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904019400
VA
Other
Enumeration date
11/07/2025
Last updated
11/07/2025
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