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Individual

ANDREW LAUTAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LICSW

Contact information

Practice address
500 INDIANA AVE NW, WASHINGTON, DC 20001-2131
(202) 879-1620
Mailing address
2120 ARLINGTON TER, ALEXANDRIA, VA 22303-1500
(410) 340-2641

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904010738
VA
1041C0700X
Clinical Social Worker
Primary
LC50080136
DC

Other

Enumeration date
09/17/2020
Last updated
09/17/2020
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