Individual
GREGORY ABERNATHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
9853 BUSINESS WAY, MANASSAS, VA 20110-4152
(540) 872-7225
Mailing address
25 HICKORY LN, BUMPASS, VA 23024-4506
(540) 872-7225
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904007666
VA
Other
Enumeration date
07/25/2011
Last updated
07/26/2011
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