Individual
MS. ANDREA C MANGRAM SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1850 CAMERON GLEN DRIVE, SUITE 600, RESTON, VA 20190
(703) 481-4154
(703) 435-1961
Mailing address
1850 CAMERON GLEN DRIVE, SUITE 600, RESTON, VA 20190
(703) 481-4154
(703) 435-1961
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0904002161
VA
Other
Enumeration date
09/11/2007
Last updated
09/11/2007
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