Individual
AMANDA YI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
410 PINE ST SE STE 150, VIENNA, VA 22180-4877
(703) 259-8500
Mailing address
410 PINE ST SE STE 150, VIENNA, VA 22180-4877
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904016054
VA
Other
Enumeration date
11/16/2023
Last updated
11/16/2023
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