Individual
LORRAINE MARIE VRSECKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4700 BANTING CT, FAIRFAX, VA 22032-2451
(703) 402-2091
Mailing address
13621 S SPRINGS DR, CLIFTON, VA 20124-2445
(703) 405-5208
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
05/05/2020
Last updated
05/05/2020
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