Individual
DARLENE RENEE MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
8221 WILLOW OAKS CORPORATE DR STE 4-420, FAIRFAX, VA 22031-4512
(703) 289-7560
(703) 204-9001
Mailing address
8221 WILLOW OAKS CORPORATE DR STE 4-420, FAIRFAX, VA 22031-4512
(703) 289-7560
(703) 204-9001
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904003321
VA
1041C0700X
Clinical Social Worker
10340
MD
Other
Enumeration date
05/07/2014
Last updated
02/11/2021
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