Individual
DR. FATIMA MIRZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LCSW
Contact information
Practice address
10723 MAIN ST, FAIRFAX, VA 22030-6905
(703) 903-9696
Mailing address
PO BOX QQ, MCLEAN, VA 22101
(703) 903-9696
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904013203
VA
Other
Enumeration date
06/09/2016
Last updated
12/25/2022
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