Individual
KELLY ANNE ZUPANCIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9300 DEWITT LOOP FL 2, FORT BELVOIR, VA 22060-5285
(571) 231-1307
Mailing address
8633 EAGLE GLEN TER, FAIRFAX STATION, VA 22039-2679
(215) 990-5181
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904014072
VA
Other
Enumeration date
08/25/2022
Last updated
10/24/2023
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