| Lisa Lam Lcsw Llc | |
|
5641 Burke Centre Pkwy Ste 206 Burke VA 22015-2259 | |
| (571) 601-2822 | |
| Not Available |
| Full Name | Lisa Lam Lcsw Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5641 Burke Centre Pkwy Ste 206, Burke, Virginia |
| Authorized Official Name and Position | Lisa Lam (OWNER) |
| Authorized Official Contact | 5716012822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Lam Lcsw Llc 5641 Burke Centre Pkwy Ste 206 Burke VA 22015-2259 Ph: (571) 601-2822 | Lisa Lam Lcsw Llc 5641 Burke Centre Pkwy Ste 206 Burke VA 22015-2259 Ph: (571) 601-2822 |
| NPI Number | 1508682659 |
|---|---|
| Provider Enumeration Date | 11/22/2024 |
| Last Update Date | 11/22/2024 |
| Certification Date | 11/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508682659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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