Individual
MS. SUSAN DAHLSTROM LACROIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
13890 BRADDOCK RD STE 312, CENTREVILLE, VA 20121-2438
(703) 963-2910
(703) 815-5663
Mailing address
13890 BRADDOCK RD STE 312, CENTREVILLE, VA 20121-2438
(703) 963-2910
(703) 815-5663
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0701003362
VA
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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