ELAINE VICCORA

FAIRFAX, VA
NPI1407175730
Former NameELAINE ROCK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: VA  0904004318)
Enumeration Date2010-05-26
Last Update Date2010-05-26
Business Address
-- ELAINE VICCORA LCSW
10195 MAIN ST SUITE N
FAIRFAX, VA 22031-3415
Phone number: 703-250-6785
Mailing Address
-- ELAINE VICCORA LCSW
7103 WOODGLEN CT
FAIRFAX STATION, VA 22039-1707
Phone number: 703-250-5012