MRS. Colleen Graydon Basso, LCSW
NPI #1558082958 in Manassas Park, Virginia
Provider Information
- NPI Number
- 1558082958
- Entity Type
- Individual
- Name
- MRS. Colleen Graydon Basso, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Sep 6, 2022
- Last Updated
- Nov 18, 2024
Practice Location
- Address
- 815B AMBROSE LN
- City
- Manassas Park
- State
- Virginia
- ZIP Code
- 20111-2706
- Phone
- (703) 517-3260
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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