| Fatina Smith, Lcsw, Llc | |
|
10560 Main St Suite 317 Fairfax VA 22030-7182 | |
| (703) 728-8329 | |
| Not Available |
| Full Name | Fatina Smith, Lcsw, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 10560 Main St, Fairfax, Virginia |
| Authorized Official Name and Position | Fatina Smith (OWNER) |
| Authorized Official Contact | 7037288329 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fatina Smith, Lcsw, Llc 10560 Main St Suite 317 Fairfax VA 22030-7182 Ph: (703) 728-8329 | Fatina Smith, Lcsw, Llc 10560 Main St Suite 317 Fairfax VA 22030-7182 Ph: (703) 728-8329 |
| NPI Number | 1447513346 |
|---|---|
| Provider Enumeration Date | 06/17/2012 |
| Last Update Date | 08/15/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447513346 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904006958 (Virginia) | Primary |
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