Individual
CARLA CARICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
133 PARK ST NE, VIENNA, VA 22180-4666
(703) 281-2657
Mailing address
1217 WEATHERSTONE CT, RESTON, VA 20194-1349
(215) 490-2683
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904010016
VA
Other
Enumeration date
10/26/2017
Last updated
10/26/2017
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