Individual
MRS. CYNTHIA TITUS GREENSPAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5276 DAWES AVE, ALEXANDRIA, VA 22311-1404
(703) 379-7350
(703) 379-7352
Mailing address
5276 DAWES AVE, ALEXANDRIA, VA 22311-1404
(703) 379-7350
(703) 379-7352
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904006859
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457403099
—
VA
01
—
G00909
MEDICARE GROUP
VA
Enumeration date
01/14/2009
Last updated
01/14/2009
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