Individual
MS. LARISSA CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7450 HERITAGE VILLAGE PLZ, GAINESVILLE, VA 20155-3090
(571) 356-3150
Mailing address
9011 ARBORETUM PKWY STE 200, NORTH CHESTERFIELD, VA 23236-3486
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904008169
VA
Other
Enumeration date
04/04/2013
Last updated
09/30/2022
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