Individual
DANIEL G BLYMYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
9625 SURVEYOR CT, SUITE #210, MANASSAS, VA 20110-4422
(703) 393-9527
(703) 330-3966
Mailing address
8140 ASHTON AVE, SUITE #100, MANASSAS, VA 20109-5698
(703) 393-9527
(703) 330-3966
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904001265
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
190000842
—
VA
Enumeration date
09/12/2006
Last updated
05/26/2016
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