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Organization

CLINICAL THERAPY SERVICES

Active
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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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