Individual
MR. CASIMER RICHARD WICHLACZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
9810 BRIGHTLEA DR, VIENNA, VA 22181-6003
(703) 281-5337
Mailing address
9810 BRIGHTLEA DR, VIENNA, VA 22181-6003
(703) 281-5337
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904005923
VA
Other
Enumeration date
08/18/2005
Last updated
12/01/2011
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