Individual
AMY KLASS COYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8402 BEREA DR, VIENNA, VA 22180-7103
(703) 336-3508
Mailing address
8402 BEREA DR, VIENNA, VA 22180-7103
(703) 336-3508
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904003748
VA
Other
Enumeration date
07/16/2018
Last updated
07/16/2018
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