Individual
MRS. AMY BARTLETT TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, MSW
Contact information
Practice address
17606 MAIN ST, SUITE 204, DUMFRIES, VA 22026-2343
(703) 583-8616
Mailing address
3656 SERENDIPITY RD, WOODBRIDGE, VA 22193-1094
(703) 583-8616
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904000597
VA
Other
Enumeration date
08/14/2006
Last updated
07/08/2007
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