Individual
AMY NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6000 HAVENER HOUSE WAY, CENTREVILLE, VA 20120-3224
(703) 405-4773
Mailing address
6000 HAVENER HOUSE WAY, CENTREVILLE, VA 20120-3224
(703) 405-4773
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904014067
VA
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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