Individual
ASHLEY HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10520 JUDICIAL DR, FAIRFAX, VA 22030-5115
(703) 246-5474
Mailing address
4920 LANYARD LN, WOODBRIDGE, VA 22192-5746
(443) 804-1007
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904014665
VA
Other
Enumeration date
12/19/2022
Last updated
02/24/2023
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