Staci M Bostic, Lcsw

NPI #1922527514 in Ashburn, Virginia

Provider Information

NPI Number
1922527514
Entity Type
Organization
Organization Name
Staci M Bostic, Lcsw
Primary Specialty
Social Worker - Clinical
Enumeration Date
Sep 14, 2017
Last Updated
Sep 13, 2018

Practice Location

Address
44075 PIPELINE PLZ STE 220
ZIP Code
20147-5890
Phone
(703) 283-9083

Authorized Official

Name
STACI M BOSTIC, LCSW
Title
OWNER
Phone
(703) 283-9083

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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