Individual
AMANDA C BABINEAU-LAROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
312 E MARKET ST STE F, LEESBURG, VA 20176-4173
(703) 493-0467
Mailing address
312 E MARKET ST STE F, LEESBURG, VA 20176-4173
(703) 493-0467
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904007861
VA
Other
Enumeration date
11/05/2007
Last updated
02/03/2019
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