MRS. Diane Lynn Brace, M.S.W., L.C.S.W.

NPI #1770594442 in Chantilly, Virginia

Provider Information

NPI Number: 1770594442
Entity Type: Individual
Name: MRS. Diane Lynn Brace, M.S.W., L.C.S.W.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: M.S.W., L.C.S.W.
Enumeration Date: Aug 10, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 14150 PARKEAST CIR
Address 2: SUITE 200
City: Chantilly
State: Virginia
ZIP Code: 20151-2295
Phone: (703) 968-4036

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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