Individual
ALEX MAURICIO MEJIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
15941 DONALD CURTIS DR STE 200, WOODBRIDGE, VA 22191-4257
(703) 792-4900
(703) 792-5699
Mailing address
8300 CANNISTER CT, FREDERICKSBURG, VA 22407-1907
(703) 221-3348
(703) 221-0426
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904010729
VA
Other
Enumeration date
01/16/2019
Last updated
01/16/2019
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