Individual
KELLY WINTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1340 BRADDOCK PL, ALEXANDRIA, VA 22314-1693
(703) 609-6279
Mailing address
2414 SILVER FOX LN, RESTON, VA 20191-2629
(703) 609-6279
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
0904013996
VA
Other
Enumeration date
08/19/2019
Last updated
02/10/2025
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