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1427795954
LEANNAH EVELYN FARBOTKO
FAIRFAX, VA
NPI
1427795954
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904012544)
Enumeration Date
2022-05-16
Last Update Date
2022-05-16
Business Address
LEANNAH EVELYN FARBOTKO LCSW
4031 CHAIN BRIDGE RD
FAIRFAX, VA 22030-4118
Phone number: 571-207-5199
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Mailing Address
LEANNAH EVELYN FARBOTKO LCSW
7500 RAMBLEWOOD CT
ANNANDALE, VA 22003-2554
Phone number: 757-653-6550
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