Individual
ANTOINETTE WADSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
42009 VICTORY LN, LEESBURG, VA 20176-6269
(703) 777-0800
Mailing address
42009 VICTORY LN, LEESBURG, VA 20176-6269
(703) 777-0800
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701008632
VA
Other
Enumeration date
10/13/2019
Last updated
10/13/2019
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