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1356595334
ELIZABETH PORTER
FAIRFAX, VA
NPI
1356595334
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904004302)
Enumeration Date
2008-11-04
Last Update Date
2008-11-04
Business Address
Mrs. ELIZABETH PORTER LCSW
3817 PLAZA DR
FAIRFAX, VA 22030-2512
Phone number: 703-307-7683
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Mailing Address
Mrs. ELIZABETH PORTER LCSW
3817 PLAZA DR
FAIRFAX, VA 22030-2512
Phone number: 703-307-7683
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