Individual
CINDY JACQUELINE MEDRANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7611 COPPERMINE DR, MANASSAS, VA 20109-2668
(703) 496-7804
Mailing address
7611 COPPERMINE DR, MANASSAS, VA 20109-2668
(703) 496-7804
(571) 359-6784
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904013857
VA
Other
Enumeration date
05/09/2022
Last updated
06/22/2023
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