Individual
BRIANNA LYNN PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20053 CREW SQ, ASHBURN, VA 20147-3333
(424) 423-9723
Mailing address
20053 CREW SQ, ASHBURN, VA 20147-3333
(424) 423-9723
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0903004231
VA
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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