Provider Information for 1972146330
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Mr. JOSEPH FRANK OSIECKI LICSW
Sex: Male
NPI: 1972146330
Last Updated: 2019-10-17
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1972146330 | ||||||||
| Enumeration Date | 2019-10-17 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 11814 WAYLAND ST OAKTON, VA 22124-2228 United States Phone: 703-855-9254 | Fax: | ||||||||
| Primary Practice Address | 11814 WAYLAND ST OAKTON, VA 22124-2228 United States Phone: 703-855-9254 | Fax: | ||||||||
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