MICHELLE ANN ENSRUD LAM

CHANTILLY, VA
NPI1255809240
Former NameMICHELLE ANN LAM
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: VA  0904010770)
Enumeration Date2018-11-07
Last Update Date2020-01-06
Business Address
MRS. MICHELLE ANN ENSRUD LAM LCSW
4460 BROOKFIELD CORPORATE DR STE H
CHANTILLY, VA 20151-1671
Phone number: 571-933-8151
Mailing Address
MRS. MICHELLE ANN ENSRUD LAM LCSW
3305 KINFOLK CT
HERNDON, VA 20171-4011
Phone number: 540-220-3002
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