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Mark Robert Anderson, LCSW

Social Worker, Clinical in Falls Church, VA. Individual provider (NPI-1).

NPI number1306869995
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1306869995
Entity type
Individual (NPI-1)
Name
Mr. Mark Robert Anderson
Credential
LCSW
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 25, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical0904002773VAYes

Practice location

405 N Washington St Ste 104
Falls Church, VA 22046-3410

Phone 703-405-4209 · Fax 703-533-9433

Mailing address

405 N Washington St Ste 104
Falls Church, VA 22046-3410

Phone 703-405-4209 · Fax 703-533-9433

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