Individual
KELSEY-MARIE FUGARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
817 CEDAR CREEK GRADE STE 202, WINCHESTER, VA 22601
(540) 514-7022
Mailing address
113 MAXIMILLIAN CT SW, LEESBURG, VA 20175-2711
(571) 438-7970
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904010450
VA
Other
Enumeration date
09/22/2014
Last updated
07/12/2018
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