Individual
MRS. LAURA BOWLING-NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
19415 DEERFIELD AVE STE 316, LANSDOWNE, VA 20176-8472
(571) 831-0999
Mailing address
26072 JAWAHER PL, ALDIE, VA 20105-6205
(703) 608-4286
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904013092
VA
1041S0200X
School Social Worker
PPS-0607004
VA
1041S0200X
School Social Worker
PROV-0649584
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0904013092
CLINICAL LICENSE
VA
Enumeration date
10/18/2019
Last updated
10/01/2024
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