MS. Diane Lynn Lasichak, LCSW, LCSW-C, CMC

NPI #1861812042 in Ashburn, Virginia

Provider Information

NPI Number
1861812042
Entity Type
Individual
Name
MS. Diane Lynn Lasichak, LCSW, LCSW-C, CMC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW, LCSW-C, CMC
Enumeration Date
Apr 25, 2014
Last Updated
Apr 25, 2014

Practice Location

Address
20459 OLD GREY PL
ZIP Code
20147-5522
Phone
(571) 333-2889

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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