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Individual

MRS. SHIRLEY SKOLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW LICSW LCSWC

Contact information

Practice address
3018 JAVIER RD, FAIRFAX, VA 22031
(703) 204-9100
(703) 204-9590
Mailing address
6123 MONTROSE RD, ROCKVILLE, MD 20852
(301) 881-3700
(301) 468-1862

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
00274
MD
104100000X
Social Worker
LC301131
DC
104100000X
Social Worker
Primary
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
230794
KAISER
VA
01
5395607
AETNA
VA
01
54074
UBH
VA
01
A2840021
BCBS OF DC
DC
Enumeration date
08/13/2006
Last updated
07/08/2007
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