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Mary B Cavanaugh
Specialist in Fairfax, Virginia
NPI 1831137421

Mary B Cavanaugh is a Specialist based in Vienna, VA. Mary B Cavanaugh practices in Fairfax, VA. The NPI Number for Mary B Cavanaugh is 1831137421 and holds a License No. 00010494287 (Virginia).

The current practice location address for Mary B Cavanaugh is 3600 Joseph Siewick Dr, Fairfax, VA and can be reached out via phone at 703-391-3129 and via fax at 703-391-4271.

Location: 3600 Joseph Siewick Dr, Fairfax, VA, 22182-2022
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831137421
Provider Name
Mary B Cavanaugh
Credential
Provider Entity Type
Individual
Gender
Female
Address
3600 Joseph Siewick Dr, Fairfax, VA, 22182-2022
Phone Number
703-391-3129
Fax Number
703-391-4271
Provider Enumeration Date
06/03/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3600 Joseph Siewick Dr
City
Fairfax
State
Virginia
Zip
22033-1709
Phone Number
703-391-3129
Fax Number
703-391-4271
person
Provider Business Mailing Address Details
Address
3600 Joseph Siewick Dr
City
Fairfax
State
Virginia
Zip
22033-1709
Phone Number
703-391-3129
Fax Number
703-391-4271
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
00010494287 (Virginia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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