Individual
MS. AUDREY SHANAE ISAACS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2510 HUNTER PL STE 101, WOODBRIDGE, VA 22192-3938
(571) 316-1069
(571) 402-7907
Mailing address
2510 HUNTER PL STE 101, WOODBRIDGE, VA 22192-3938
(571) 316-1069
(571) 402-7907
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0906013800
VA
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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