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Individual

MR. ANDRES ACOSTA II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
4480 KING ST, 5TH FLOOR, ALEXANDRIA, VA 22302-1300
(703) 746-3458
(703) 379-3962
Mailing address
4480 KING ST, 5TH FLOOR, ALEXANDRIA, VA 22302-1300
(703) 746-3458
(703) 379-3962

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904008888
VA
1041C0700X
Clinical Social Worker
LC50080290
DC

Other

Enumeration date
11/18/2015
Last updated
11/18/2015
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