Individual
EBONY NICOLE CALLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
16712 JEFFERSON DAVIS HWY, DUMFRIES, VA 22026-2115
(703) 221-7467
(703) 221-4115
Mailing address
16712 JEFFERSON DAVIS HWY, DUMFRIES, VA 22026-2115
(703) 221-7467
(703) 221-4115
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904010339
VA
1041C0700X
Clinical Social Worker
LC50080428
DC
1041C0700X
Clinical Social Worker
SW12357
FL
Other
Enumeration date
04/22/2017
Last updated
03/14/2024
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