Individual
AMANDA TREVINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6568 FORSYTHIA ST, SPRINGFIELD, VA 22150-1100
(703) 732-8832
Mailing address
6568 FORSYTHIA ST, SPRINGFIELD, VA 22150-1100
(703) 732-8832
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904005858
VA
Other
Enumeration date
04/19/2021
Last updated
04/19/2021
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