KELLY FACCIOLA

WOODBRIDGE, VA
NPI1598873101
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: VA  0904005064)
Enumeration Date2006-08-25
Last Update Date2019-08-07
Business Address
KELLY FACCIOLA LCSW
12866 HARBOR DR
WOODBRIDGE, VA 22192-2921
Phone number: 703-494-4164
Mailing Address
KELLY FACCIOLA LCSW
12866 HARBOR DR
WOODBRIDGE, VA 22192-2921
Phone number: 703-203-7535
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