Individual
AMY DEAN WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11230 WAPLES MILL RD STE 100, FAIRFAX, VA 22030-6087
(703) 591-1146
(703) 591-1148
Mailing address
2352 SOFT WIND CT, RESTON, VA 20191-4406
(703) 509-8612
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904002250
VA
Other
Enumeration date
06/19/2019
Last updated
06/19/2019
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