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1669724456
LARA H WEAVER
FAIRFAX, VA
NPI
1669724456
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904004826)
Enumeration Date
2012-10-04
Last Update Date
2012-10-04
Business Address
-- LARA H WEAVER LCSW
3020 JAVIER RD
FAIRFAX, VA 22031-4609
Phone number: 703-289-7560
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Mailing Address
-- LARA H WEAVER LCSW
3020 JAVIER RD
FAIRFAX, VA 22031-4609
Phone number: 703-289-7560
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