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1962803809
LISA ANNE EIDELKIND
FAIRFAX STATION, VA
NPI
1962803809
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904003786)
Enumeration Date
2014-09-10
Last Update Date
2014-09-10
Business Address
Mrs. LISA ANNE EIDELKIND LCSW
9127 WOOD POINTE WAY
FAIRFAX STATION, VA 22039-3069
Phone number: 703-867-7221
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Mailing Address
Mrs. LISA ANNE EIDELKIND LCSW
9127 WOOD POINTE WAY
FAIRFAX STATION, VA 22039-3069
Phone number: 703-867-7221
Copy
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