Individual
MS. CYNTHIA HENDERSON PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
800 CORPORATE DRIVE, SUITE 301, STAFFORD, VA 22554-4889
(571) 229-0831
Mailing address
11 HOPE ROAD, SUITE 111, PMB #246, STAFFORD, VA 22554-7287
(571) 229-0831
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904007834
VA
Other
Enumeration date
08/07/2013
Last updated
10/16/2021
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