Individual
BLAISE CARLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
20925 PROFESSIONAL PLZ, SUITE 230, ASHBURN, VA 20147-3403
(703) 338-9098
Mailing address
5761 EXETER CT, #160, ALEXANDRIA, VA 22311-5761
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904005935
VA
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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