Organization
DYNAMIC INSIGHT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARIEL AGMON MA, LCSW (PSYCHOTHERAPIST)
(310) 435-3463
Entity
Organization
Contact information
Practice address
2911 S WOODSTOCK ST APT D, ARLINGTON, VA 22206-4001
(310) 435-3463
Mailing address
2911 S WOODSTOCK ST APT D, ARLINGTON, VA 22206-4001
(310) 435-3463
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NPI
1689079014
—
Enumeration date
07/07/2021
Last updated
07/07/2021
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