Individual
ANDREA RENEE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
14150 PARKEAST CIR, CHANTILLY, VA 20151-2295
(571) 521-9875
Mailing address
14150 PARKEAST CIR, CHANTILLY, VA 20151-2295
(571) 521-9875
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904010715
VA
Other
Enumeration date
02/28/2019
Last updated
01/03/2024
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