Individual
MR. CECIL LYNN GARRISON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, LSATP
Contact information
Practice address
4213 WALNEY RD, CHANTILLY, VA 20151-2923
(703) 502-7017
(703) 502-7055
Mailing address
14818 WOOD HOME RD, CENTREVILLE, VA 20120-1546
(703) 266-7097
(703) 502-7055
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904004919
VA
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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