| Adolescent And Adult Service Providers | |
|
14855 Buttonwood Ct Woodbridge VA 22193-3365 | |
| (703) 670-2535 | |
| Not Available |
| Full Name | Adolescent And Adult Service Providers |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 14855 Buttonwood Ct, Woodbridge, Virginia |
| Authorized Official Name and Position | Addie Whitaker (PARTNER) |
| Authorized Official Contact | 7036702535 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adolescent And Adult Service Providers 14855 Buttonwood Ct Woodbridge VA 22193-3365 Ph: (703) 670-2535 | Adolescent And Adult Service Providers 14855 Buttonwood Ct Woodbridge VA 22193-3365 Ph: (703) 670-2535 |
| NPI Number | 1679931984 |
|---|---|
| Provider Enumeration Date | 02/01/2016 |
| Last Update Date | 02/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679931984 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (Virginia) | Primary |
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