Organization
DEBRA L. TIEVSKY, LCSW, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBRA LEE TIEVSKY LCSW (DIRECTOR)
(703) 715-6011
Entity
Organization
Contact information
Practice address
5675 STONE RD, STE 300, CENTREVILLE, VA 20120-1667
(703) 715-6011
(703) 991-9127
Mailing address
5675 STONE RD, STE 300, CENTREVILLE, VA 20120-1667
(703) 715-6011
(703) 991-9127
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904001786
VA
Other
Enumeration date
09/24/2006
Last updated
04/14/2010
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