Individual
COLLEEN LAGASSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11150 SUNSET HILLS RD STE 150, RESTON, VA 20190-5325
(571) 306-0563
Mailing address
563 NALLS DAIRY CT, GREAT FALLS, VA 22066-1145
(571) 444-3822
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904016466
VA
Other
Enumeration date
02/28/2024
Last updated
02/28/2024
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