Individual
GIA THI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7982 DONEGAN DRIVE, MANASSAS, VA 20109
(571) 723-9461
Mailing address
8282 LINBLAKE CT, MANASSAS, VA 20111-5266
(571) 723-9461
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904010892
VA
Other
Enumeration date
02/25/2019
Last updated
02/25/2019
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