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1407175730
ELAINE VICCORA
FAIRFAX, VA
NPI
1407175730
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Former Name
ELAINE ROCK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904004318)
Enumeration Date
2010-05-26
Last Update Date
2010-05-26
Business Address
-- ELAINE VICCORA LCSW
10195 MAIN ST SUITE N
FAIRFAX, VA 22031-3415
Phone number: 703-250-6785
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Mailing Address
-- ELAINE VICCORA LCSW
7103 WOODGLEN CT
FAIRFAX STATION, VA 22039-1707
Phone number: 703-250-5012
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