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Individual

MRS. LIDA FAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1499 CHAIN BRIDGE RD STE 201, MC LEAN, VA 22101-5704
(703) 627-7265
Mailing address
44715 PRENTICE DR UNIT 315, ASHBURN, VA 20146-8017
(703) 627-7265

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
01104101
NY
101YP2500X
Professional Counselor
Primary
0701004285
VA

Other

Enumeration date
02/06/2007
Last updated
05/23/2022
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