Individual
BARBARA BEZMENOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
6611 JEFFERSON ST STE 301, HAYMARKET, VA 20169-4902
(571) 248-0626
Mailing address
4211 MIDDLEBROOK ST, FAIRFAX, VA 22032-1354
(703) 922-0516
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904010323
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0904010323
BOARD OF SOCIAL WORK
VA
Enumeration date
02/06/2018
Last updated
02/06/2018
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