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Individual

LARA KASSOFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
3 WASHINGTON CIR NW, SUITE 405, WASHINGTON, DC 20037-2356
(571) 721-1322
Mailing address
2033 K ST NW, SUITE 330, WASHINGTON, DC 20052

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
0810004618
VA
103TC0700X
Clinical Psychologist
Primary
PSY1000838
DC

Other

Enumeration date
07/29/2009
Last updated
08/30/2013
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