Individual
MRS. AMANDA LAUREN CASSIDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2951 LANDOVER ST, ALEXANDRIA, VA 22305-1902
(610) 657-7472
Mailing address
2951 LANDOVER ST, ALEXANDRIA, VA 22305-1902
(610) 657-7472
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
0133000838
VA
Other
Enumeration date
05/18/2012
Last updated
07/11/2023
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