Provider Information for 1255716734
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SHEREE LEVITSKY LCSW
Sex: Female
NPI: 1255716734
Last Updated: 2015-07-24
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1255716734 | ||||||||||||
| Enumeration Date | 2015-07-24 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 11308 ANTRIM CT GREAT FALLS, VA 22066-1160 United States Phone: 703-424-5118 | Fax: | ||||||||||||
| Primary Practice Address | 9506B LEE HWY FAIRFAX PLAZA OFFICE PARK FAIRFAX, VA 22031-2303 United States Phone: 703-424-5118 | Fax: | ||||||||||||
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