Individual
TYENNA SPENCER-STURDIVVANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9526 MCKINLEY AVE, MANASSAS, VA 20110-5682
(202) 422-3354
Mailing address
9526 MCKINLEY AVE, MANASSAS, VA 20110-5682
(202) 422-3354
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
374J00000X
Doula
Primary
—
—
Other
Enumeration date
08/23/2023
Last updated
10/07/2024
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