Alexandra Roth LCSW

NPI 1063411528 - Social Worker - 104100000X

NPI Details
NPI 1063411528
Gender Female
Enumeration Date 07/18/2005
Last Updated 11/10/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
8500 EXECUTIVE PARK AVE
SUITE 200
FAIRFAX VA, 22031-2225, US
Phone (703) 698-5220
Fax (703) 573-2351
Business Location
8500 EXECUTIVE PARK AVE
SUITE 200
FAIRFAX VA, 22031-2225, US
Phone (703) 698-5220
Fax (703) 573-2351
Toxanomy
Taxonomy Code 104100000X
License State Virginia
License Number 0904003266
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According to our database, Alexandra Roth LCSW NPI is 1063411528, taxonomy code is 104100000X and license number is 0904003266, license state is located at Virginia. Alexandra Roth LCSW physically located at 8500 Executive Park Ave, Fairfax VA, 22031-2225. NPI Number Alexandra Roth LCSW has the Individual type.

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1063411528 NPI number is provided on an as is basis without warranty of any kind. 1063411528 is maintained by the National Plan & Provider Enumeration System. The contents of Alexandra Roth LCSW are for informational purposes only.