Individual
ELIZABETH BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8500 EXECUTIVE PARK AVE STE 202, FAIRFAX, VA 22031-2253
(703) 852-7015
(703) 641-4693
Mailing address
8221 WILLOW OAKS CORPORATE DR STE 4-430, FAIRFAX, VA 22031-4512
(571) 623-3545
(703) 289-4614
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0701005865
VA
Other
Enumeration date
03/04/2016
Last updated
05/20/2019
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