Individual
MS. ALICIA MARGARITA FUNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, CYT
Contact information
Practice address
19 E.MARKET STREET, LEESBURG, VA 20176
(703) 621-7121
(703) 621-7121
Mailing address
19. E MARKET STREET, LEESBURG, VA 20176
(703) 621-7121
(703) 621-7121
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904008724
VA
Other
Enumeration date
01/18/2015
Last updated
01/27/2016
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