SHANE SIBLEY FAGAN

ALEXANDRIA, VA
NPI1629228101
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: VA  0904005331)
Enumeration Date2008-09-22
Last Update Date2008-09-22
Business Address
Mrs. SHANE SIBLEY FAGAN LCSW
919 DUKE ST
ALEXANDRIA, VA 22314-3648
Phone number: 703-864-6794
Mailing Address
Mrs. SHANE SIBLEY FAGAN LCSW
2316 VALLEY DR
ALEXANDRIA, VA 22302-3222
Phone number: 703-864-6794