Organization
FATINA SMITH, LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FATINA SMITH LCSW (OWNER)
(703) 728-8329
Entity
Organization
Contact information
Practice address
10560 MAIN ST, SUITE 317, FAIRFAX, VA 22030-7182
(703) 728-8329
Mailing address
10560 MAIN ST, SUITE 317, FAIRFAX, VA 22030-7182
(703) 728-8329
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904006958
VA
Other
Enumeration date
06/17/2012
Last updated
08/15/2013
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