| Debra L. Tievsky, Lcsw, Pc | |
|
5675 Stone Rd Ste 300 Centreville VA 20120-1667 | |
| (703) 715-6011 | |
| (703) 991-9127 |
| Full Name | Debra L. Tievsky, Lcsw, Pc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5675 Stone Rd, Centreville, Virginia |
| Authorized Official Name and Position | Debra Lee Tievsky (DIRECTOR) |
| Authorized Official Contact | 7037156011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Debra L. Tievsky, Lcsw, Pc 5675 Stone Rd Ste 300 Centreville VA 20120-1667 Ph: (703) 715-6011 | Debra L. Tievsky, Lcsw, Pc 5675 Stone Rd Ste 300 Centreville VA 20120-1667 Ph: (703) 715-6011 |
| NPI Number | 1760582340 |
|---|---|
| Provider Enumeration Date | 09/24/2006 |
| Last Update Date | 04/14/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760582340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904001786 (Virginia) | Primary |
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