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Individual

MRS. DIANE M WINTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
720 N SAINT ASAPH ST, ALEXANDRIA, VA 22314-1912
(703) 838-9445
(703) 838-5070
Mailing address
8351 STAHLWAY LN, ANNANDALE, VA 22003-4367
(703) 819-8467

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904005254
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004945026
VA
Enumeration date
07/10/2006
Last updated
07/10/2008
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