Individual
AMANDA LEIGH FIRESTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2301 HILLIARD RD STE 8, HENRICO, VA 23228-4525
(307) 280-1804
(804) 774-7543
Mailing address
2301 HILLIARD RD STE 8, HENRICO, VA 23228-4525
(804) 307-2801
(804) 774-7543
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904011396
VA
Other
Enumeration date
01/08/2020
Last updated
11/27/2023
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