Individual
DEBRA L TIEVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5675 STONE RD, SUITE 300, CENTREVILLE, VA 20120-1667
(703) 715-9011
Mailing address
5675 STONE RD, SUITE 300, CENTREVILLE, VA 20120-1667
(703) 715-9011
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904001786
VA
Other
Enumeration date
04/14/2010
Last updated
04/14/2010
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