Individual
MS. ELIZABETH ANNE PETERSILIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8350 RICHMOND HWY, 515, ALEXANDRIA, VA 22309-2300
(703) 704-6495
(703) 704-6795
Mailing address
4509 PARK RD, ALEXANDRIA, VA 22312-1432
(706) 642-3097
(703) 642-3097
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904001002
VA
Other
Enumeration date
06/07/2007
Last updated
07/08/2007
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