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Individual

MRS. KELLY ROBIN LIEBER

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
LCSW LCSWC LGSW

Contact information

Practice address
10721 MAIN STREET #2350, GROWTH AND RECOVERY CENTER FALIFAX MEDICAL CENTER, FAIRFAX, VA 22030
(703) 591-5912
(703) 591-7210
Mailing address
2421 N KENSINGTON STREET, ARLINGTON, VA 22207
(703) 536-6274

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
02362
DC
1041C0700X
Clinical Social Worker
Primary
0904005708
VA
1041C0700X
Clinical Social Worker
12066
MD

Other

Enumeration date
12/20/2005
Last updated
07/08/2007
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