Individual
MS. AMY BOURDEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5999 BURKE COMMONS RD, BURKE, VA 22015-2880
(703) 249-7224
(703) 249-7250
Mailing address
2101 E JEFFERSON ST, ROCKVILLE, MD 20852-4908
(301) 816-2424
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904005241
VA
Other
Enumeration date
01/05/2007
Last updated
05/28/2021
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