Individual
AMANDA KATHLEEN BILLUPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
144 CHURCH ST NW STE 205, VIENNA, VA 22180-4550
(571) 261-7764
Mailing address
628 LEGACY PRIDE DR, HERNDON, VA 20170-5032
(501) 352-6797
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0903004528
VA
Other
Enumeration date
06/03/2025
Last updated
06/03/2025
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