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1750403986
MARY TERESA ANDERSON
FAIRFAX, VA
NPI
1750403986
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904002224)
Enumeration Date
2007-04-06
Last Update Date
2007-07-08
Business Address
Dr. MARY TERESA ANDERSON LCSW
10560 MAIN ST SUITE 415
FAIRFAX, VA 22030-7182
Phone number: 703-352-8535
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Mailing Address
Dr. MARY TERESA ANDERSON LCSW
7500 MULLINGAR CT
SPRINGFIELD, VA 22153-2036
Phone number: 703-569-5197
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