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1053498816
PAUL MICHAEL HART
FAIRFAX, VA
NPI
1053498816
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904004480)
Enumeration Date
2006-11-01
Last Update Date
2007-07-08
Business Address
-- PAUL MICHAEL HART LCSW
10560 MAIN ST SUITE 410
FAIRFAX, VA 22030-7182
Phone number: 703-352-9851
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Mailing Address
-- PAUL MICHAEL HART LCSW
2311 PIMMIT DR APT 318
FALLS CHURCH, VA 22043-2815
Phone number: 703-568-9507
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