Individual
AMANDA DEFILIPPIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 TECHNOLOGY DR, ROCKY MOUNT, VA 24151-3008
(540) 483-0582
Mailing address
24 CLAY ST, MARTINSVILLE, VA 24112-2810
(276) 632-7128
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904015366
VA
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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