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1578049268
ELLIETTA MADRIGAL LAZARO
ALEXANDRIA, VA
NPI
1578049268
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904010569)
Enumeration Date
2018-07-16
Last Update Date
2024-07-31
Business Address
ELLIETTA MADRIGAL LAZARO LCSW
2001 MILL RD
ALEXANDRIA, VA 22314-5355
Phone number: 703-746-3599
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Mailing Address
ELLIETTA MADRIGAL LAZARO LCSW
206 LEIGHTON AVE
SILVER SPRING, MD 20901-4846
Phone number: 301-787-9105
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