Organization
CLINICAL THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRLEY FRANCIS WILLIAMS X LCSW-C, (INDIPENDENT CLINICAL SOCIAL WORKER)
(703) 581-7863
Entity
Organization
Contact information
Practice address
9405 LARKDALE TER, FAIRFAX STATION, VA 22039-3136
(703) 581-7863
Mailing address
9405 LARKDALE TER, FAIRFAX STATION, VA 22039-3136
(703) 581-7863
(703) 581-7863
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0904003799
VA
251S00000X
Community/Behavioral Health Agency
10522
MD
251S00000X
Community/Behavioral Health Agency
LC303400
DC
Other
Enumeration date
03/16/2015
Last updated
03/16/2015
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