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Individual

ELIZABETH NAAR SEDAGHATFAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.C.S.W.

Contact information

Practice address
1577 INLET CT, RESTON, VA 20190-4425
(703) 298-2290
(703) 925-6925
Mailing address
1577 INLET CT, RESTON, VA 20190-4425
(703) 298-2290
(703) 925-6925

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0904004936
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0904004936
CLINICAL LICENSE #
VA
Enumeration date
07/18/2006
Last updated
07/09/2007
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