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1225803695
SHANNON GRIVAS
FAIRFAX, VA
NPI
1225803695
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904016049)
Enumeration Date
2023-11-16
Last Update Date
2023-11-16
Business Address
SHANNON GRIVAS LCSW
8221 WILLOW OAKS CORPORATE DR
FAIRFAX, VA 22031-4512
Phone number: 703-573-5679
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Mailing Address
SHANNON GRIVAS LCSW
8221 WILLOW OAKS CORPORATE DR
FAIRFAX, VA 22031-4512
Phone number: 703-573-5679
Copy
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