Individual
BARRY LEE VALENTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
10004 TUMMEL FALLS DR, BRISTOW, VA 20136-1926
(703) 367-9890
Mailing address
10004 TUMMEL FALLS DR, BRISTOW, VA 20136-1926
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904006869
VA
Other
Enumeration date
03/09/2010
Last updated
03/09/2010
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