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Individual

KYLEN MAHANEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW, CSAC

Contact information

Practice address
3801 FAIRFAX DR STE 62, ARLINGTON, VA 22203-1762
(571) 244-1271
Mailing address
1608 10TH ST S, ARLINGTON, VA 22204-4768
(571) 244-1271

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904010342
VA

Other

Enumeration date
03/16/2018
Last updated
06/03/2019
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