Individual
MRS. LARISA PEREZ DEGRAFFENREID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
2505 FOXCROFT WAY, RESTON, VA 20191-3707
(703) 264-5983
(703) 425-9206
Mailing address
2505 FOXCROFT WAY, RESTON, VA 20191-3707
(703) 264-5983
(703) 425-9206
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904006176
VA
Other
Enumeration date
10/06/2006
Last updated
07/08/2007
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