MICHAEL A SUPPA

FAIRFAX, VA
NPI1114937943
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: VA  0904003713)
Enumeration Date2006-08-08
Last Update Date2024-04-03
Business Address
MR. MICHAEL A SUPPA LCSW
12011 GOVERNMENT CENTER PKWY
FAIRFAX, VA 22035-1100
Phone number: 703-324-7000
Mailing Address
MR. MICHAEL A SUPPA LCSW
12011 GOVERNMENT CENTER PKWY
FAIRFAX, VA 22035-1100
Phone number:
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