Individual
MRS. ELIZABETH MAHONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
4229 LAFAYETTE CENTER DR, SUITE 1200, CHANTILLY, VA 20151-1261
(703) 378-1011
Mailing address
1349 ROCK CHAPEL RD, HERNDON, VA 20170-2038
(571) 226-7977
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904006680
VA
Other
Enumeration date
01/06/2012
Last updated
01/06/2012
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